changi general hospital - national university of...
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Changi General Hospital
Changi General Hospital is a 790-bed hospital in theeast recognised for its excellence and compassionin service and patient care. It is the first hospital inthe SingHealth cluster to receive the prestigiousinternational JCI accreditation, and the first hospitalin Singapore to receive JCI Disease-Specific CareCertification for its Heart Failure Programme andAcute Myocardial Infarction Programme. These beartestament to the hospital's commitment to deliveringthe best clinical outcomes while ensuring a safee n v i r o n m e n t f o r b o t h p a t i e n t s a n d s t a f f .
PATIENTS. AT THE HE RT OF ALL WE DO.
Annual Report ‘08
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Annual Report ‘08
CEO’s Message
Mr T K Udairam
Quality patient care continued to drive CGH'sv is ion in FY 2008/09. Among the latestmul t id i sc ip l inary specia l t ies to prov idecomprehensive one-stop service to our patientsare our Breast Service with The Breast Centre @changi, and Integrated Sleep Service by ourOtolaryngology Department. Another newinitiative, the Medical Emergency Team (MET),combines the expertise of a trained team ofdoctors and nurses to provide prompt treatmentfor acute cases.
On the surgical front, cl inicians from ourGastroenterology Department now performEndoscopic Submucosal Dissection (ESD) to treatstomach tumours instead of the conventionalgastrectomy. The Breast Centre @ changi wasalso the first in Singapore to use ultrasoundelastography in assessing breast lesions. Wecontinue to meet global standards in clinicalquality and patient safety, notably with ourtriennial Joint Commission International (JCI) re-accreditation.
More resources were also dedicated to thedevelopment of preventive care. We broughtHOPES, a community health screening exercise,to the elderly residents of the Aljunied-HougangConstituency. In empowering our patients to takecharge of their health, we developed a one-stoponline health portal, myhealth.sg, and alsoproduced a cookbook written exclusively fordiabetics.
Looking ahead, CGH is entering a very excitingtransition phase of healthcare. We are planninga new annex that will house our A&E service,additional specialist outpatient clinics, andenhanced laboratory and radiology facilities. Inaddition, we are transforming the way we delivercare to our patients so that they can enjoyintegrated care that is coordinated and tracked.
Chief Executive Officer
Towards this end, we will be working hard to bringin more healthcare partners – from the primaryphysicians to the tertiary and step-down careproviders – into our integrated healthcare system.We wil l continue to establish our cl inicalcapabilities and develop more clinical pathwaysto link up patient care across different caresettings.
As we stride towards clinical excellence, qualitypatient care continues to remain as our primarypursuit.
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Annual Report ‘08
Clinical Governance
Changi General Hospital (CGH) is committed to high standards of clinical governanceand ensuring the delivery of safe, effective high quality patient care.
Clinical Governance StatementIn CGH Clinical Governance has 7 main facets
– Effective clinical policies and procedures– Ensuring clinical effectiveness, through
clinical audits– Clinical Risk Management including incident
reporting– Continuous performance improvement– Monitoring of clinical performance
indicators– Medical staff credentialling and privileging– External accreditation
ORGANISATION OF CLINICAL GOVERNANCE INCGH
There are various committees with distinctrespons ib i l i t ies for e lements of Cl in icalGovernance across the institution. However, thecommittee that formulates overall hospital qualitypolicy is THE PERFORMANCE IMPROVEMENTCOMMITTEE (PIC).
MAJOR ACHIEVEMENTS IN PATIENT SAFETY
External Auditing Of Clinical Effectiveness, SafetyAnd Patient Satisfaction
CGH believes in the value of external auditing ofits per formance and processes in qualityimprovement. As such the hospital first soughtJoint Commission International (JCI) accreditationin 2005 and, as re-accreditation takes place every3 years, was re-accredited in April 2008. CGH alsoreceived JCI Disease Specific Certification for itsCardiology service in Acute Myocardial Infarctionand Heart Failure in January 2007.
Cl inical Per formance and Internal Audit
The hospital tracks hospital wide and diseasespecific indicators required by the MinistryofHealth and SingHealth as well as indicatorsselected by the Performance ImprovementCommittee.
STAFF TRAINING AND ASSESSMENT
Improvement methodology - Education of staffis essential in promoting and continuing anorganisat ional cu l tu re of per for manceimprovement and patient safety. All staff in CGHattend an awareness programme in performanceimprovement and patient safety as part of theirorientation programme.
Clinical and nursing, as well as other staff providingpatient services, are also required to go throughspecialist programmes such as the ClinicalPractice Improvement Programme (CPIP). Twenty-two participants from CGH completed theirprojects in 2008. A series of Hospital IncidentManagement workshops also commenced in2008.
PATIENT SATISFACTION
CGH actively invites patients to give us feedbackthrough a range of channels on their experienceat the hospital. Any patient may submit afeedback form online or on a printed form aftereach visit. 50% of discharged medical and surgicalpatients also receive a telephone call from aCorporate Affairs Officer to seek the patient'sfeedback about his recent stay. Patientsatisfaction level of our patients ranged from 85%– 90% for 2008/2009.
AIMS FOR THE FOLLOWING YEAR
Key hospital priorities identified for 2008/2009 werethe internat ional pat ient safety goals :
1 Identify Patients Correctly2 Improve E f fect ive Communicat ion3 Improve the Safety of High-alert Medications4 Ensure Correct-site, Correct-patient, Correct
Procedure Surgery5 Reduce the Risk of Health Care-associated
Infections6 Reduce the Risk of Patient Harm Resulting
from Falls
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Annual Report ‘08
Patient Care
Patient-Centred ServiceChangi General Hospital is committed to providing quality medical care to meet the needs of thecommunity in the East. The hospital adopts a holistic approach and works in partnership with otherhealthcare institutions to deliver integrated patient care. Providing specialised care in more than 20medical and surgical disciplines, Changi General Hospital is a centre of excellence in sports medicine,breast service, and hepatobiliary service.
Genuine Care from a Friendly Team
Rise and Shine with Restful Sleep
Saving Costs, Reducing Errors
Saved in the Nick of Time
Swift Recovery
World-Class Standards
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Patient Care
Patient-Centred Service
Genuine Care from a Friendly TeamWhen a breast cancer patient had cold feet andbacked out of surgery twice, Breast Care NurseSophia Chua and her team took pains to counselher that it was in her best interest to undergotreatment. The patient finally took their adviceand underwent the procedure.
"We understand that sometimes the patient is justgoing through an acceptance phase and maynot be ready for surgery. We need to be verypatient with them and do our best in addressingall their fears and concerns," says Nurse Sophia.
At the Changi General Hospital’s Breast Centre,staff take a patient-centric approach within themultidisciplinary centre. The team's two BreastCare nurses call up patients regularly to checkon their progress, and find out how they arecoping with the therapy regimen and side-effects.
For patients who have difficulty coming to termswith their illness, Dr Tan Su-Ming, Senior Consultantand Chief of Surgery who heads the Centre, says,"We have to respect their decisions. Our focus isto provide professional advice."
The Centre sees approximately 150 women everyweek, with 50 of these being new cases. Itunderwent a facelift last year to include radiologyfacilities and many women appreciate theconvenience of seeking consultations along withhaving their mammograms and ultrasounds donein the privacy of the centre.
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Annual Report ‘08
Patient Care
Patient-Centred Service
Rise and Shine with Restful SleepLoud snores may be the signal of silent ailments.While snoring spouses are the fodder of jokes onmarital rows, loud snores can be a sign ofObstructive Sleep Apnoea (OSA) - a seriouscondi t ion that i s no laugh ing matter.
“OSA is nothing new, but most people brush it offas a trivial problem. Over 60 per cent of thepatients I see are sleeping in separate rooms fromtheir spouses,” says Dr Hsu Pon Poh, SeniorConsultant Otolaryngologist and Director of thenew Integrated Sleep Service (ISS) at ChangiGeneral Hospital (CGH).
During sleep, the brain signals the breathingmuscles of the body to breathe. OSA occurs whenthe brain sends a signal to the muscles to take abreath - but they can’t as the airways areblocked.
“Snoring occurs in 60 per cent of men who areover 60 years old, and around 15 per cent ofthem have OSA. This means that 600,000 peoplein Singapore could be affected. This is a publichealth problem,” explains Dr Hsu.
The ISS combines expertise from various specialistsat CGH, as well as the Centre's sleep technologists.
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Patient Care
Patient-Centred Service
Saving Costs, Reducing ErrorsFor better turnaround times and improvedworkflow, Changi General Hospital's (CGH)Radiology Department went f i lmless byimplementing the Picture Archiving andCommunication System (PACS). The system allowsradiologists and radiographers to concurrentlyaccess the same patient's images from differentdesktops.
PACS does away with cumbersome retrieval ofbulky folders in which old films are stored. Inaddition, it paves the way for image portabilityas images can be saved on other platforms suchas CDs. It also enables teleradiology, whichinvolves transmitting images to other local oroverseas institutions for reporting or consultation.
"Among its benefits are instant retrieval, easy touse function keys, and useful tools such as onethat allows users to reconstruct or manipulate theimage for more accurate assessment," says DrTan Tiong Yong, Senior Consultant and Chief ofRadiology Department.
CGH also took the paperless route by piloting theuse of the Computerised Physician Order Entry(CPOE) system for laboratory and radiologyorders.
When physicians place electronic orders, humanerrors are reduced and this raises the safety levelfor patients. The proverbial 'doctor's scrawl' is alsoeliminated and mistakes can be easily picked upas the system has built-in decision support whichal lows nurses to crosscheck the orders.
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Annual Report ‘08
Patient Care
Patient-Centred Service
Saved in the Nick of TimeAn alert radiologist's call to the MedicalEmergency Team (MET) saved a 55-year-oldfemale patient's life. The radiologist noticed thepatient's drowsiness while per forming anultrasound scan of her lower limb, and activatedthe MET.
Upon arrival, the MET found the patient to behypoglycaemic and promptly administereddextrose to rouse the patient, ensuring a positiveoutcome in a timely manner.
This life-saving initiative takes the guess work outof deciding which situations require emergencyintervention by emphasising early response andhelps to save lives by identifying critically-illpatients at an early stage.
The MET can be activated by a simple phonecall which results in an immediate response fromthe team on duty. Comprising a Registrar and aSenior Intensive Care Unit nurse - both speciallytrained in attending to acute cases - the METteam will assess the patient on arrival andproceed to administer the appropriate treatmentto stabilise the patient's condition.
"By intervening early, patients stand a betterchance of not only surviving but preservingimportant organ functions," says Dr AugustineTee, chairman of Changi General Hospital’s RapidResponse System Committee.
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Annual Report ‘08
Patient Care
Patient-Centred Service
Swift RecoveryWhen niggling stomach pains bothered 83-year-old Mr Tan Ah Liang, he paid little attention as hehad suffered from gastric pains from a youngage.
He was later diagnosed with early-stage stomachcancer at Changi General Hospital (CGH) andwas found to have two tumours growing in hisstomach - one was an early cancer, while theother was precancerous.
Mr Tan was advised to undergo EndoscopicSubmucosal Dissection (ESD) to have his tumoursremoved ins tead of the convent iona lgastrectomy, which involves the removal of partor all of the stomach.
According to Consultant Gastroenterologist DrAng Tiing Leong, ESD is a less invasive procedurethat allows the preservation of the entire stomach,and ensures a shorter recovery time for patients.Th is i s achieved through an advancedendoscopic technique where the use of specialendoscopic knives enable the dissection of thesubmucosal layer of the stomach wal l .
Relieved and happy at the speed of his father'srecovery, Mr Tan's son, William, says, "My fathersaid he felt no pain throughout the entire process.In fact, on the same day he was dischargedhome, he was back to his routine daily activitiesand usual diet of steamed fish, oats and whitebread."
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Annual Report ‘08
Patient Care
Patient-Centred Service
World-Class StandardsMeeting global standards in clinical quality andpatient safety, Changi General Hospital (CGH)achieved its goal of achieving the triennial JointCommission International (JCI) re-accreditationafter taking part in a gruelling 5-day audit.
Staff at CGH undertook intensive preparationwork to prepare themselves for re-accreditationone year in advance. They were ready when thetwo JCI surveyors made a trip to the hospitalpremises for the audit. Accompanied by separategroups of CGH staff, the surveyors toured thehospital facilities, interviewed staff, and revieweddocuments and medical records as part of theirsurvey.
The audit ended on a high note when lead JCIsurveyor Dr Albert Vogel, announced to a fully-packed auditorium on the final day that he wasdelivering "the best report we have ever seen inour surveys".
As testimony to the CGH nursing team's excellentwork, Dr Vogel added, "You're a great group ofprofessional people."
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Annual Report ‘08
Education
Lifelong EducationChangi General Hospital grooms healthcare talent through education efforts that cultivate staff totheir full potential, building a pool of competent healthcare professionals.
Lighting up their Twilight Years Sharing the Fruits of Medical Research
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Annual Report ‘08
Education
Lifelong Education
Lighting up their Twilight YearsBleak confessions from suicidal elderly patientswere some of the encounters Mr Hoe Oi Min, aHealthcare Assistant with the St Andrew'sCommunity Hospital could never get used to,even with the passage of time. Mr Hoe admitsthat he was always at a loss for words whenpatients told him that they wished to end theirlives.
But that changed after he attended the MentalHealth First Aid (MHFA) (Older Person) courseconducted by Changi General Hospital (CGH).Mr Hoe was taught to ask the right questions inresponse to patients’ confessions of havingsuicidal thoughts. The course also equipped himwith skills and confidence to broach the subjectin a sensitive manner.
The 12-hour certified course focuses on mentalhealth problems specific to the elderly such asconfusion and dementia. It also provides practicalsteps in identifying and helping an elderly personwho may be at risk of mental health problemssuch as depression.
"Mental health issues in older persons are oftenmanaged differently from the general adultpopulation. We need to equip caregivers andhealthcare workers with the right skills," said DrNg Li Ling, Senior Consultant Psychogeriatricianwho spearheaded the development of MHFA(Older Person).
CGH will be conducting the MHFA (Older Person)course to more eldercare agencies nationwideas well as to the public.
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Education
Lifelong Education
Sharing the Fruits of Medical ResearchCancer patients in Singapore face a double-edged sword with the use of opioids. While itkeeps their pain at bay, the top three problemsthey face include addiction, fatalism and diseaseprogression. These findings won the top prize inthe Nursing Oral Papers category for the nursingteam led by Changi General Hospital's (CGH)Eugene Teoh at the hospital's Annual ScientificMeeting (ASM) in October 2008.
The scientific meeting held annually, is anopportunity for both local and overseas medicalexperts to share knowledge and evidence thatmay have an impact on our health and wellbeing.
The event also provided an opportunity for CGH'smedical, nursing and allied health professionalsto showcase the fruits of their research studiesand projects.
Dr Andrew Kwek, Associate Consul tantGastroenterologist, was one of the winners for hisclinical poster on using Endoscopic SubmucosalDissection (ESD), a less invasive procedure to treatearly gastric cancer.
His study revealed that in 10 ESD proceduresperformed at CGH since April 2007, all lesionshad clear margins except for one which neededa repeat of the ESD procedure. Dr Kwek's researchhighlighted the ESD procedure as a safe andeffective method to treat early gastric cancer.
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Annual Report ‘08
Research
Innovative ResearchChangi General Hospital believes that research is imperative in raising the standard of care. The Hospitalhas adopted a culture of innovation as it strives for clinical leadership.
Using 'Detective Work' to EnhanceBreast Health
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Research
Innovative Research
Using 'Detective Work' to Enhance Breast HealthInsurance advisor Jessie Tan, 43, is thankful shehad an enhanced ultrasound scan at ChangiGeneral Hospital’s (CGH) one-stop breast centrewhen she f i rst felt discomfort. While hermammogram and conventional ultrasound scanwere clear, ultrasound elastography detectedtwo lumps, whose hardness hinted at theirmalignancy.
A biopsy confirmed she had breast cancer, sosurgery and chemotherapy followed. Ms Tan,who was treated at CGH in 2006 says, "It wasgood that the doctor did the scan, which wasmore conclusive than the others."
Ultrasound elastography gives the doctor moreinformation to assess if a patient is in the clear orif a biopsy has to be done, says Dr Tan Su-Ming,Chief and Senior Consultant of the Departmentof Surgery at CGH.
"It's like investigative detective work - the moreinformation you gather, the more accurate thediagnosis," she adds.
Dr Tan is the first breast surgeon in Singapore touse ultrasound elastography in assessing breastlesions. Her findings on its benefits were publishedin a European Journal, The Breast, in June 2008.Since the conclusion of Dr Tan's research, allpatients who have suspicious breast lumps havebeen offered both conventional and enhancedscans at CGH, at no addi t ional cost .
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Our PeopleChangi General Hospital recognises that staff need to work in a supportive environment to deliverquality healthcare. We believe in supporting, empowering and nurturing our staff so that they can givetheir best to our patients.
Sleep Doc's Work Sends Wake-up Calls Learning Through Adversity
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Our People
Sleep Doc's Work Sends Wake-up CallsFrom helping patients with sleep disorders tofishing out a tiny gold bell lodged in a teenager'snose, Senior Consultant, Otolaryngologist atChangi General Hospital (CGH) Dr Hsu Pon Poh,has seen them all during his 10 years of service.On top of his duties as an Otolaryngology expert,Dr Hsu has also contributed to many clinical trialsas Head of CGH’s Clinical Trials & Research Unit(CTRU) from 1 August 2004 to 31 July 2009.
CTRU has conducted more than 100 clinical trialson drugs and medical equipment for varioussectors since Dr Hsu took over the helm at theunit four years ago.
Under his leadership, CGH has won $1.2 millionto $2.7 million worth of clinical trials contracts peryear from pharmaceutical companies. Suchclinical trials translate to better patient care.
His achievements and dedication to clinicalresearch was recognised at the GCEO ExcellenceAwards 2008. Among his many other awardsinclude the Young Investigator Award (2001),Young Surgeon's Award (2001), and the YahyaCohen Memorial Lectureship & Gold Medal(2005).
The affable doctor downplayed his achievementswith a lighthearted joke on his job in theOtolaryngology field, "It's not difficult to see whyI'm running a sleep clinic. I have patients who fallasleep as I'm talking to them. And if you just takea look at the waiting area, you’ll see that all mypatients are falling asleep!"
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Annual Report ‘08
Our People
Learning Through AdversityLike a true warrior, Senior Nurse Manager (SNM)Kaneswary d/o Kandasamy battled her waythrough personal tragedy to reach her goals inrelentless pursuit of knowledge. For her untiringefforts, SNM Kaneswary was recognised at theLifelong Learner Awards 2008.
Fate had earlier put her through a few difficulttests. SNM Kaneswary's father was diagnosed withterminal cancer in 1997 and in the same year,her eldest brother died in an accident. Just a fewyears ago, her husband suffered a heart attackand was warded in the National Heart CentreSingapore's intensive care unit.
But these setbacks did not prevent SNMKaneswary from picking up her AdvancedDiploma, Bachelor degree and a Masters in HealthScience Management.
SNM Kaneswary was one of the 15 winners pickedfrom 100 entr ies for the awards, whichacknowledge individuals and companies whohave gone the extra mile in adapting to the ever-changing employment landscape, througha c q u i r i n g n e w s k i l l s a n d k n o w l e d g e .
"Continuous learning is the way to go - upgradeand apply skills and knowledge, wheneverpossible. It can also help you become a betterperson," said SNM Kaneswary, who now managesa group of staff.
Senior Nurse Manager Lau Soy Soy whonominated her for the awards was overjoyed withthe news. "I'm thrilled and happy for her – shedeserves to win th i s award!" she said.
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Annual Report ‘08
Community Engagement
Changi General Hospital plays its part as a responsible corporate citizen by contributing to the welfareof the community through a range of outreach efforts.
Eat Your Way to Good Health
Changi General Hospital’s 'I Care' Pledge
Empowering Seniors with HOPES
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Community Engagement
Eat Your Way to Good HealthSpicy seafood parcels, berry yoghurt surprise andguava salad are some of the tempting delightsfeatured in a cookbook written exclusively fordiabetics. The brainchild of Changi GeneralHospital's (CGH) Chief Dietitian, MagdalinCheong, and Executive Chef Daniel Yeo, 'ACookbook for Diabetics by a Dietitian and a Chef'can be enjoyed by both diabetics and their lovedones and also includes a section on how thechronic disease can be managed.
"One key question that many diabetic patientsask is what and how much of a certain food theycan eat. With this book, we hope to help themachieve variety in their diet and make their mealsmore interesting, yet at the same time, enablethem to maintain good glucose control and stayhealthy," says Mrs Cheong.
CGH celebrated the official launch of thecookbook at an event in November 2008, whereguests and diabetic patients enjoyed ascrumptious buffet lunch that offered some ofthe book's featured delights.
Another initiative to help keep patients in the pinkof health is a one-stop online health portalmyhealth.sg, designed to help them managetheir health and fitness needs on the go.Interactive tools on this website provide individualswith various clinically proven programmes tomaintain their f i tness and good health.
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Community Engagement
Changi General Hospital’s 'I Care' PledgeChangi General Hospital (CGH) pledges to carefor all patients who walk through their hospitaldoors. Since 2002, this pledge to care hasextended beyond the hospi ta l ' s doors .
Since its inception, CGH's HomeCare Assist (HCA)has provided care to over 900 patients who havebeen discharged from the hospital, back into thecommunity. HCA helps patients with theirhomecare needs, enabling them to be bettercared for at home, hence reducing the need forthese patients to be re-admitted to hospital.
In June and July 2008, CGH rallied together toraise funds for the patient welfare charity. Themedas the "I Care" Fundraising Drive, CGH raised atotal of $161,000 over three months throughpledge card donations and the two-day charitybazaar finale.
The lively HCA Charity Bazaar, held at the CGHinpatient block lobby on July 3 and 4, 2008, sawCGH staff banding together to contribute theirtime, effort, wares and skills, all in the spirit ofcharity.
CGH's Chairman Medical Board, Assoc Prof LowCheng Ooi, Chief & Senior A&E Consultant, DrMohan Tiru, and CGH's former Chief OperatingOfficer, Dr Wong Chiang Yin, donned their apronsand wowed the crowds as they whipped upsumptuous specialty dishes in an appetisingcooking demonstration.
According to a recent study by CGH, HCA hashelped to reduce the number of patient re-admiss ions due to poor wound care ormalnutrition by more than 50%.
Prior to the inception of HCA, patients from low-income families had to try to make do withouthomecare necessities, such as wound caresupplies, milk feeds, and adult diapers, whichtypically amounted to several hundred dollarseach month. This resulted in deterioration ofpatients’ health and subsequent re-admission tothe hospital.
Through the programme, HCA has not only helpedto provide such homecare necessities, but hasalso ass isted in medical t reatment andtransportation fees, allowing these patients tocontinue receiving quality care at home, evenafter hospital discharge.
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Annual Report ‘08
Community Engagement
Empowering Seniors with HOPESIn a bid to empower the senior residents ofAljunied-Hougang Constituency, over 40 stafffrom the Changi General Hospital (CGH),comprising doctors, nurses, physiotherapists andadministrative staff, volunteered their time andeffort for HOPES on March 8, 2009.
HOPES, which stands for Health OutreachProgramme for Empowering Seniors, is acommunity health screening exercise which aimsto screen elderly residents for Body Mass Index(BMI), blood pressure, blood glucose, falls risk andmental health.
In this partnership with the North East CommunityDevelopment Council (NECDC) and the SilverRibbon Project, CGH provided health screeningsfor over 250 residents aged 60 and above. Elderlyresidents who were identified as being at highrisk for any one of the conditions, which includeddiabetes, high cholesterol, hypertension, falls anddepression, would be followed up by grassrootsvolunteers to ensure that they seek appropriateand timely medical care.
Held in conjunction with NECDC’s Aljunied-Hougang Town Day Carnival, CGH’s volunteersput their professional skills to a good cause asthey examined the numerous elderly residents,one after another.
By the end of the event, the CGH team hadidentified 80 seniors as being at high risk of falls,high blood pressure and high glucose levels. Fortheir months of toil and sweat leading up to theevent, the CGH HOPES volunteers could begratified with the knowledge that they have doneyet another good deed for the elderly residentsof the Al jun ied-Hougang Const i tuency.
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Annual Report ‘08
Awards & Accolades - General
ServiceExcellent Service Awards 2008
National Day Awards 2008 (Commendation)
National Day Awards 2008 (Efficiency)
Healthcare Humanity Awards 2008
Healthcare Humanity Awards 2009
GCEO Excellence Awards 2008
MOH Nurses’ Merit Award
Lifelong Learner Awards 2008
Comrade of Labour Award – May Day 2008
NTUC May Day Model Workers
May Day Model Partnership Awards 2009
PS21 Star Service Award 2009
108 staff – 7 star, 16 gold, 85 silver
Ms Tan Ai Leng, Deputy Director of Operations
Mrs Magdalin Cheong, Senior Manager and ChiefDietitianMs Ong Siew Yit, Senior Nurse ManagerMs Wee Seok Choo, Senior Nurse Manager
Ms Leong Wee See, Senior Nurse ManagerMs Yeo Seok Tin, Principal Medical Social WorkerMr Krishnasamy Shashu Ayengar, Senior NurseManager
Ms Ng Ya Mei, Nurse ManagerMs Thai Wei Li, Nurse ClinicianMs Lim Chii Kiang Serene, Staff NurseMs Tay Lee Hua, Nurse Clinician
Professional Category (Administration): Ms CelestineChan, Senior Social Work AssistantOpen Category (Clinical Research): Dr Hsu Pon Poh,Head of Clinical Trials Research Unit, Director of CGHIntegrated Sleep Service, Senior Consultant,Department of Otolaryngology (ENT)
Ms Neo Soon Keow, Nurse ClinicianMs Zhang Di, Nurse ClinicianMs S. Indra, Nurse ManagerMs Authilakshmy d/o N. Manikam, Senior Staff NurseMs Chan Pui Yee Alicia, Senior Enrolled Nurse
Ms Kaneswary d/o Kandasamy, Senior Nurse Manager
Ms Lau Soy Soy, Senior Nurse Manager
Mr Ranjit Singh, Healthcare Assistant (Silver CollarHeavyweights)Ms Fatimah Taha Suhaimi, Senior Enrolled Nurse(Upgraders for Life)Ms Tan Lee Cheng, Senior Enrolled Nurse (Upgradersfor Life)
Mr Mohd Jadi Bin Fazil Din, Healthcare Assistant
Ms Quek Keng Cheng, Senior Nurse Manager
Recipient(s) Name & Designation
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Annual Report ‘08
Awards & Accolades - Education
ServiceAustralian Imperial Force Malayan NursingScholarship
SingHealth-Lee Institute of Advanced NursingScholarship Awards
HMDP (Nursing)
HMDP (Allied Health)
HMDP (Medical)
Special Awards - Singapore WorkforceDevelopment Agency Award for ClinicalEducation in Nursing (Accelerated) - NYP
Ms Ong Poh Geok Joyce, Senior Staff Nurse (Bachelorin Nursing)
Ms Gan Pei Ying, Staff Nurse (Masters in Nursing)Ms Loi Foo Chin, Staff Nurse (Bachelor in Nursing)
Ms Avril Elizabeth Chew, Senior Staff NurseMs Chai Chee Ping, Nurse ClinicianMs Chitra d/o Pandiaya, Senior Staff NurseMs Mardianah Bte Ishak, Nurse ManagerMs Margie Wu Ya Lan, Senior Staff NurseMs Neo Soon Keow, Nurse ClinicianMs Dolores Catalina, Senior Staff NurseMs Norhayah Bte Mohamed Noor, Nurse ClinicianMs Ratnasari, Staff NurseMs Shau Keng Yee, Senior Staff NurseMs Thai Wei Li, Nurse ClinicianMs Wong Wei Yui, Nurse ClinicianMs Zhu Hai Fang, Senior Staff NurseMs Jiang Lina, Senior Staff NurseMs Lee Chye Hoon, Senior Staff NurseMs Mokanasundari d/o Letchman Naidu, Senior StaffNurse
Ms Chan May PengMs Noor Ashraf Ardeefia bte KamaludinMs Wong Ling JiaoMs Yeo Seok Tin
Dr Angelina Chan Oi Mei, Senior ConsultantDr Choo Chee Yong, Associate ConsultantDr Foo Chek Siang, Associate ConsultantDr Imran Bin Mohd Noor, Associate ConsultantDr Joan Khoo Joo Ching, Associate ConsultantDr Lim Hoon Chin Steven, Associate ConsultantDr Rashi Agrawal, Associate ConsultantDr Teo Yee Sze, Associate ConsultantDr Ng Keng Sin, Associate ConsultantDr Woon Voon Ching, Consultant
Ms O Guat Eng, Staff Nurse
Recipient(s) Name & Designation
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Annual Report ‘08
Awards & Accolades - Human Resource /Talent Development
ServiceHRM Singapore Awards 2008
The Singapore HR Awards 2008
Total Defence Awards 2008
Work-Life Excellence Award 2008
SHARE Platinum Award 2008
Home Team National Service Awards 2008
Total Defence Awards 2009
Best Mature Workforce Practices Award
Special Mention in Talent Management, Retention& Succession Planning Award, Special Mention inCompensation & Rewards Management Award, andSpecial Mention in Fair Employment Practices Award.
Meritorious Defence Partner Award (Employers)
Distinguished Home Team Partner Award
Distinguished Defence Partner Award
Recipient(s) Name & Designation
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Annual Report ‘08
Patient Stories
Patient Success Stories
A Business Of Trust
Mr Loh Yin Nam, 57 years old
When the self-proclaimed workaholic passed out twice without anywarning, Mr Loh got worried. With a long history of heart murmurs, hesought treatment from CGH’s cardiology and gastroenterology teams. He also started a weight-loss programme with the Changi SportsMedicine Centre to improve his health. Having put his faith in theCGH medical teams’ care, Mr Loh is now out and about, and readyto push forward in his career.
A Second Chance At Life
Mr Kevin Tang, 33 years old
A dental procedure to have his braces fixed in 2008 turned out to bemore than what he bargained for. After removing his molars at aprivate dental clinic, Kevin suffered a septic shock from a bacterialinfection that led to multiple organ failure. His condition deterioratedso quickly that he had to be put on life support at the Intensive CareUnit (ICU) for three weeks. Through his determination and the care ofthe CGH ICU medical team, Kevin recovered. He has returned to workand is able to enjoy playing his favourite game of tennis. With thisunexpected close shave, Kevin now takes each brand new day withnewfound faith and confidence.
Living For Her Loved Ones
Mdm Sng Kwee Ngoh, 50 years old
Diagnosed with nose cancer a second time, Mdm Sng felt like a tonof bricks was weighing on her. She wanted to live and have moretime with her loved ones. The Otolaryngology team at CGH removedher tumour via endoscopic nasopharyngectomy, and she recoveredquickly without any scarring. She is thankful for her recovery and theopportunity to spend more qual i ty t ime with her fami ly.
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Patient Stories
Patient Success Stories - continued
His Heart Is Set On Traveling
Mr Wong Loy, 69 years old
Mr Wong felt something amiss when he started feeling breathless. Aheart stent procedure and expert follow-up care by CGH's cardiologyteam soon set it right for him. He has since adopted a healthy lifestyle.With his new lease of life, he has resumed his passion for travelling.
Back Into The Pink Of Health
Ms Karen Goh, 43 years old
The swelling on her left breast was persistent and she felt weak andgroggy all the time. Fearing the worst, Ms Goh sought treatment atThe Breast Centre @ changi and underwent surgery immediately toremove an abscess. Her healing journey was fraught with work-relatedproblems but the dedicated team of breast surgeon and breast carenurses kept her spirits up by giving her constant encouragement.Today, she is in the pink of health again and is determined to keep itthat way by exercising regularly. She also looks forward to spendingmore quality time with her family.
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Annual Report ‘08
Key Figures
SizeBed Complement (as at end Mar)Beds in Service
Bed Occupancy RateInpatient AdmissionsInpatient DischargesTotal Patient DaysAverage Length of Stay (days)Total Surgical Operations Day Surgeries Inpatient SurgeriesSpecialist Outpatient Clinic AttendancesAccident & Emergency AttendancesDental AttendancesDental Procedures
Total Doctors Nurses Allied Health Professionals Others
FY 08
790740
84.1%42,20042,155
227,0795.4
41,42024,46316,957
346,860159,542
4,4194,868
2,800352
1,243382823
790718
85.1%43,41343,336
223,5395.2
40,30622,85617,450
338,146155,685
3,8934,575
2,502330
1,048337788
FY 07
Workload Per Annum
Staffing (as at end Mar)
year ended 31 Mar 2009 year ended 31 Mar 2008
Note: Staffing figures refer to Filled Posts, in terms of Full-Time Equivalent, and may not add up to total due to rounding.
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