Improving Clinical Assessment and Patient Treatment with Custom Solutions | SGH Hospital of the Future podcast

Why (good) data is critical to healthcare outcomes

As we move further into the 21st century, the sustainable delivery of safe, high-quality healthcare presents an unprecedented challenge.  Increasing demand on health services, reflecting an aging population with complex chronic comorbid diseases, is placing considerable strain on most health systems which were designed primarily for episodic acute illness in the past. ⁠SGH Hospital of the Future Podcast⁠ [https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future] guest ⁠Professor Keith McNeil⁠ [https://www.digitalhealth.gov.au/about-us/organisational-structure/board-members/professor-keith-mcneil], Commissioner for Excellence and Innovation in Health, Government of South Australia, explains to podcast hosts  ⁠Associated Professor Goh Su-Yen⁠ [https://www.sgh.com.sg/profile/goh-su-yen] and ⁠Dr Amanda Lam⁠ [https://www.sgh.com.sg/doctor/endocrinology/lam-yun-rui-amanda] why the continued over-reliance on acute hospital-based systems needs to be urgently revisited to enable more effective distribution of resources to facilitate the provision of care closer to or in the home, wherever clinically appropriate. The march towards precision medicine will be critical to address the waste and harm delivered across modern-day health systems. Crucially underpinning these reform agendas is the need for high-quality, longitudinal health outcome-based data, enabling personalised treatment to always be delivered to every patient.  Professor McNeil envisions a modern digital ecosystem based on interoperability and advanced data analytics, which will enable healthcare to embrace 21st-century expectations, harness the promise of AI, and fully leverage data as one of our most valuable assets. About Professor Keith McNeil  Professor Keith McNeil⁠ [https://ceih.sa.gov.au/about/who-we-are/executive] is an internationally recognised respiratory physician trained in heart and lung transplantation at Papworth Hospital in Cambridge, United Kingdom. Keith established the Queensland Lung Transplant Service at The Prince Charles Hospital in 1996, and soon thereafter returned to Papworth where he was Lead Physician for the heart and lung transplant program.  He has occupied a vast array of senior clinical and administrative roles, including as CEO of tertiary hospital and health services (Royal Brisbane and Women's Hospital and Metro North Hospital and Health Service in Brisbane, and Cambridge University Hospitals in the UK), Head of IT and Chief Clinical Information Officer (CCIO) in the NHS, and Deputy Director General, Chief Medical Officer and CCIO in Queensland Health.  About SGH Hospital of the Future Podcast Hosts  Associate Professor Goh Su-Yen is Senior Consultant, ⁠Endocrinology⁠ [https://www.sgh.com.sg/patient-care/specialties-services/endocrinology#:~:text=The%20Department%20of%20Endocrinology%20is%20a%20tertiary%20referral,range%20of%20conditions%20involving%20the%20hormone-producing%20endocrine%20glands.] at ⁠Singapore General Hospital⁠ [https://www.sgh.com.sg/] (SGH), Head and Senior Consultant, ⁠SingHealth Duke-NUS Diabetes Centre⁠ [https://www.singhealth.com.sg/patient-care/specialties-services/diabetes-centre], and Group Director, Innovation and Transformation, ⁠SingHealth⁠ [https://www.singhealth.com.sg/], with an interest in innovation and transformation.  Dr Amanda Lam⁠⁠ [https://www.sgh.com.sg/doctor/endocrinology/lam-yun-rui-amanda] is a Senior Consultant Endocrinologist at Singapore General Hospital. She graduated from Yong Loo Lin School of Medicine, National University of Singapore, and completed her specialist training in Endocrinology and Diabetes at SingHealth. Dr Amanda holds a Master of Management in Clinical Informatics (MMCi) degree from Duke University, and currently serves as the Clinical Director of the Department of Data Science in Singapore General Hospital and is the Co-Lead for Digitalization and Data for the SingHealth Duke-NUS Diabetes Centre. Dr Amanda has been involved in digital initiatives to improve the delivery of care, including Note Buddy—an ambient AI documentation solution—app development for diabetes care, and the integration of machine learning models for clinical care and hospital operations. SGH Hospital of the Future Podcast is also available on: Spotify: ⁠https://open.spotify.com/show/5XuXifizabpKU4rzTyL3e9⁠ [https://open.spotify.com/show/5XuXifizabpKU4rzTyL3e9] Apple Podcasts: ⁠https://podcasts.apple.com/us/podcast/sgh-hospital-of-the-future/id1817347118⁠ [https://podcasts.apple.com/us/podcast/sgh-hospital-of-the-future/id1817347118] Find out more about the podcast series at ⁠https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future⁠ [https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future] #SingaporeGeneralHospital website: ⁠www.sgh.com.sg [http://www.sgh.com.sg/]#SGH #SGHHospitalOfTheFuture #podcast #healthcare #innovation #healthcareinnovation #hospitalinnovation #DareToInnovate #precisionmedicine #personalisedtreatment

Value-Based Healthcare: Dream or Reality?

What is value-based healthcare? Why does it require different ways of working and how will this affect healthcare providers, clinicians, nurses, and healthcare workers?   Professor Paul van der Nat [https://www.ru.nl/en/about-us/news/paul-van-der-nat-appointed-professor-of-value-based-healthcare], an international expert in value-based healthcare, shares his experience on how value-based healthcare, where care is organised around the patient based on patient needs, future-proofs care, and how we can learn from each other globally on the journey towards value-based healthcare. Together with SGH Hospital of the Future Podcast [https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future] hosts Associate Professor Goh Su-Yen [https://www.sgh.com.sg/profile/goh-su-yen] and Associate Professor Hairil Rizal Bin Abdullah [https://www.sgh.com.sg/doctor/anaesthesiology/hairil-rizal-bin-abdullah], Professor Paul explains: -  how value-based healthcare has developed over the years - what steps he and his team at Santeon, Radboud University Medical Center [https://www.radboudumc.nl/en/patient-care], and St. Antonius Hospital successfully developed to implement value-based healthcare in hospitals - how value-based healthcare impacts the accessibility, quality and affordability of care hospitals provide- while change management is necessary for implementing value-based health care and he is cognisant that changes can demand a lot from healthcare providers,  a vital element of value-based healthcare is that it increases the job satisfaction of nurses and medical specialists, and should not be underestimated at a time of increasing work pressure and staff shortages - how departments sometimes work in silos, where various healthcare professionals of a patient might hardly know each other and each other's work - his focus on how we can work more in multidisciplinary teams, to provide patients better care and prioritise value for individual patients   About Professor Paul van der Nat Professor Paul van der Nat has led large-scale value-based healthcare implementation in the Netherlands for over a decade, achieving measurable improvements in patient outcomes, and operational efficiency. He has founded and chairs the Value Catalyst, a global learning community of leading hospitals. He currently serves as Professor of Value-Based Healthcare at Radboud University Medical Center, Chief Value Officer at St. Antonius Hospital, and research development manager at Santeon.   He holds a PhD in High-Energy Physics for his work at the National Institute for Subatomic Physics (Amsterdam). About SGH Hospital of the Future Podcast Hosts Associate Professor Goh Su-Yen is Senior Consultant,  Endocrinology [https://www.sgh.com.sg/patient-care/specialties-services/endocrinology#:~:text=The%20Department%20of%20Endocrinology%20is%20a%20tertiary%20referral,range%20of%20conditions%20involving%20the%20hormone-producing%20endocrine%20glands.] at Singapore General Hospital [https://www.sgh.com.sg/] (SGH), Head and Senior Consultant, SingHealth Duke-NUS Diabetes Centre [https://www.singhealth.com.sg/patient-care/specialties-services/diabetes-centre], and Group Director, Innovation and Transformation, SingHealth [https://www.singhealth.com.sg/], with an interest in innovation and transformation.    Associate Professor Hairil Rizal is a Senior Consultant, Anaesthesiology [https://www.sgh.com.sg/our-specialties/anaesthesiology], and Clinical Director for the Office of Value-based Healthcare (OVBH) at SGH. As a perioperative clinician, he led a transformative initiative in SGH that culminated in a one-stop Preoperative Assessment Centre, and introduced the “PREPARE” prehabilitation program for elderly patients, earning him the National Healthcare Innovation and Productivity Award in 2020. As the Clinical Director of OVBH, his work in operationalising Value Based Healthcare has been recognised with the "Distinguished Champion of Change Leader Award" by SingHealth in 2022. His focus on innovation, education, and patient care positions him as a prominent leader in his field. SGH Hospital of the Future Podcast is also available on: Spotify: https://open.spotify.com/show/5XuXifizabpKU4rzTyL3e9 [https://open.spotify.com/show/5XuXifizabpKU4rzTyL3e9] Apple Podcasts: https://podcasts.apple.com/us/podcast/sgh-hospital-of-the-future/id1817347118 [https://podcasts.apple.com/us/podcast/sgh-hospital-of-the-future/id1817347118]   Find out more about the podcast series at https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future [https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future]   #SingaporeGeneralHospital website: www.sgh.com.sg [http://www.sgh.com.sg/] #SGH #SGHHospitalOfTheFuture #podcast #healthcare #innovation #healthcareinnovation #hospitalinnovation #DareToInnovate #ValueBasedHealthcare # ValueBasedCare

What Healthcare AI Innovations Are Most Likely to Improve Patient Care?

Professor David Bates, Medical Director of Clinical and Quality Analysis at Mass General Brigham (MGB), is a physician, biomedical informatician, and academic recognised for his research on leveraging health information technology (HIT) to enhance healthcare safety and quality, particularly with clinical decision support systems. In this SGH Hospital of the Future podcast, he shares about his research on informatics and medication safety, the impact of health information systems in reducing patient harms, and how data and active surveillance can ensure health systems deliver optimal care. Dr Goh Su-Yen and Dr Jasmine Ong hear from Professor Bates about Artificial Intelligence (AI) in clinical decision support systems to improve patient safety and care quality, and how innovations and technology such as AI can be implemented to optimise efficacy and safety. Discover why Professor Bates is passionate about biomedical informatics or the study and application of computing science to enhance communication, comprehension, and management of healthcare data and information. About Professor David Bates Professor David Bates is also co-Director of the Center for Artificial Intelligence and Bioinformatics Learning Systems (CAIBILS) at MGB, and a Senior Physician at Brigham and Women’s Hospital (BWH). In June 2023, he stepped down as Chief of General Internal Medicine and Primary Care at BWH after 25 years in that role. Professor Bates is also a Professor at both Harvard Medical School and at the Harvard T.H. Chan School of Public Health; in addition, he directs the Center for Patient Safety Research and Practice at BWH. Previously, he served as Chief Quality Officer and later as Chief Innovation Officer at BWH. Professor Bates is an internationally renowned expert in patient safety, using information technology to improve care, quality-of-care, cost-effectiveness, and outcomes assessment. He has served as president of the International Society for Quality in Healthcare (ISQua) and as Board Chair of the International Society of Quality and Safety. Professor Bates' has been recognised for several years by Modern Healthcare magazine as one of the “100 most powerful” individuals in U.S. health care. He has published over 1,200 peer-reviewed papers which have been cited over 162,000 times. Professor Bates is among the 400 most cited of all biomedical researchers and is listed as being among the top 500 scientists in the world. Professor Bates served as external program lead for research for the World Health Organization's Global Alliance for Patient Safety and is past president of the International Society for Quality in Healthcare (ISQua). In addition, Dr. Bates is the Editor of the Journal of Patient Safety. About SGH Hospital of the Future Podcast Hosts Dr Goh Su-Yen is Senior Consultant, Endocrinology at Singapore General Hospital (SGH), Head and Senior Consultant, SingHealth Duke-NUS Diabetes Centre, and Group Director, Innovation and Transformation, SingHealth, with an interest in innovation and transformation. Dr Jasmine Ong is Principal Clinical Pharmacist, and Research Peak Co-Lead for Cardiovascular Emergencies at SGH. Her research interests include pharmacokinetics / pharmacodynamics of adult critically ill patients, as well as AI and health technology innovation. Dr Ong leads several AI projects in Pharmacy and is an appointed EXCO member in the SingHealth AI Office. SGH Hospital of the Future Podcast is also available on: Spotify: https://open.spotify.com/show/5XuXifizabpKU4rzTyL3e9 Apple Podcasts: https://podcasts.apple.com/us/podcast/sgh-hospital-of-the-future/id1817347118 Find out more about the podcast series at https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future #SingaporeGeneralHospital website: https://www.sgh.com.sg #SGH #SGHHospitalOfTheFuture #podcast #healthcare #innovation #healthcareinnovation #hospitalinnovation #DareToInnovate #AI #ArtificialIntelligence #patientsafety

Genomic Medicine: the Hype, the Hope, the Reality

Ever wonder what a clinical and molecular geneticist actually does? What are some of the biggest misconceptions people have about precision medicine and genomics? Find out in this SGH Hospital of the Future podcast, as Associate Professor Goh Su-Yen [https://www.sgh.com.sg/profile/goh-su-yen] and Associate Professor Tan Ee Shien [https://www.kkh.com.sg/doctor/paediatric-genetics/tan-ee-shien] hear from Professor Wendy Chung [https://www.childrenshospital.org/providers/wendy-chung], Chief of Pediatrics, Boston Children's Hospital [https://www.childrenshospital.org/], and Mary Ellen Avery Professor of Pediatrics, Harvard Medical School, as well as how Professor Chung helped identify genes linked to rare neurodevelopmental disorders, and impact children’s lives through her work on spinal muscular atrophy and Duchenne muscular dystrophy and newborn genome screening. We learn from Ministry of Health (MOH) Health Manpower Development Programme [https://hpp.moh.gov.sg/programmes/fy2025-hmdp-visiting-experts/] visiting expert Professor Chung as she shares her hope for the future of paediatric genomics, what the ideal integration of genomics into paediatric care looks like to her, and which fields she works in — autism, cardiomyopathy, obesity, rare neurogenetic conditions — might be on the cusp of the biggest breakthrough.    Professor Wendy Chung is a physician scientist and directs National Institutes of Health (NIH) funded research programs in human genetics of birth defects including congenital diaphragmatic hernia, esophageal atresia, and congenital heart disease. She leads a large study of autism called SPARK and a study of 180 rare neurogenetic conditions called Simons Searchlight. She has led studies to improve newborn screening for spinal muscular atrophy, Duchenne muscular dystrophy, and now GUARDIAN (Genomic Uniform screening Against Rare Diseases In All Newborns). About SGH Hospital of the Future Podcast Hosts Associate Professor Goh Su-Yen is Senior Consultant, Endocrinology [https://www.sgh.com.sg/patient-care/specialties-services/endocrinology#:~:text=The%20Department%20of%20Endocrinology%20is%20a%20tertiary%20referral,range%20of%20conditions%20involving%20the%20hormone-producing%20endocrine%20glands.] at Singapore General Hospital [https://www.sgh.com.sg/] (SGH), Head and Senior Consultant, SingHealth Duke-NUS Diabetes Centre [https://www.singhealth.com.sg/patient-care/specialties-services/diabetes-centre], and Group Director, Innovation and Transformation, SingHealth [https://www.singhealth.com.sg/], with an interest in innovation and transformation.  Associate Professor Tan Ee Shien is Head, Clinical Services, SingHealth Duke-NUS Genomic Medicine Centre [https://www.singhealth.com.sg/our-specialties/genomic-medicine-centre], and Head, Genetics Service [https://www.kkh.com.sg/our-specialties/genetics], KK Women's and Children's Hospital where she leads efforts to improve the care of patients with genetic diseases. She was Director of the National Newborn Screening Programme in Singapore from 2011 to 2023. In this role, she led the expansion of the list of disorders tested in newborns. The programme has been successful in ensuring that majority of the newborns in Singapore are tested. Professor Tan is a strong believer in mentoring the next generation and is actively involved in education, previously serving as the Paediatric clerkship director for the Duke NUS Graduate Medical School. She is also a Clinical Associate Professor in Duke-NUS Medical School and Yong Loo Lin School of Medicine. She was awarded Clinician Scientist Award 2009 to 2011 and remains involved in numerous genetics research projects. Find out more about the podcast series at SGH Hospital of the Future [https://www.sgh.com.sg/about-sgh/news/hospital-of-the-future.newsdetails] #SingaporeGeneralHospital website: www.sgh.com.sg [http://www.sgh.com.sg/] #SGH #SGHHospitalOfTheFuture #podcast #healthcare #innovation #healthcareinnovation #hospitalinnovation #DareToInnovate #GenomicMedicine #PrecisionMedicine #genomics #moleculargenetics #pediatrics #genomescreening

Improving Clinical Assessment and Patient Treatment with Custom Solutions | SGH Hospital of the Future podcast

Associate Professor Ross Clark discusses his two-decade collaboration with Singapore General Hospital, revealing how clinician-driven research and innovation transforms patient care through technology. His work has potential impact on population health and how we bring healthcare closer to our patient communities. Associate Professor Clark has a passion for developing technology for assessing physical capacity and has developed hardware and software for assessing breathing patterns in people with chronic neck pain to standing balance and strength in people with acquired brain injury. Having collaborated with Singapore General Hospital for almost 20 years, Associate Professor Ross catches up with longtime collaborator Dr Pua Yong Hao, Physiotherapist, Singapore General Hospital (SGH), together with fellow podcast host Associate Professor Goh Su-Yen, on this SGH Hospital of the Future podcast. Associate Professor Clark shares his knowledge on of journey from concept to commercialisation through SCREENii, an SGH co-designed and commercially licensed screening device for frailty and sarcopenia, he co-developed with Dr Pua. Learn about how clinician-driven ideas evolve from research prototypes into practical, scalable tools, and ways to validate, fund and commercial innovative new ideas: - Understand the innovation pathway from identifying a clinical problem to developing a validated solution - Explore how AI, automation, and sensor technologies can enhance patient care and clinical workflows, and how design thinking and rapid prototyping can be enabled by accessible AI tools About Associate Professor Ross Clark Associate Professor Ross Clark is a National Health and Medical Research Council (NHMRC) R.D. Wright Biomedical Fellow (2015-2018) at the University of the Sunshine Coast, and an Honorary Fellow at the Murdoch Children’s Research Institute in Melbourne. He completed his undergraduate and PhD degrees at Central Queensland University and undertook a Post-Doctoral Fellowship at University of Melbourne. He has created a range of systems that have been used in hospitals throughout Australia and the world, including tools for assessing gait, balance and strength in Singapore General Hospital, University of Rochester Medical Center and Cincinnati Children’s Hospital. He also has a background in elite sport, having created systems used by professional rugby league and Australian Football League teams in Australia and worked as the international product tester for ASICS Oceania sports apparel. About SGH Hospital of the Future Podcast Hosts Dr Goh Su-Yen is Senior Consultant, Endocrinology at Singapore General Hospital (SGH), Head and Senior Consultant, SingHealth Duke-NUS Diabetes Centre, and Group Director, Innovation and Transformation, SingHealth, with an interest in innovation and transformation. Dr Pua Yong Hao has served as a research mentor to several students and allied health professionals. He is an Assistant Professor at Duke-NUS Graduate Medical School, an Associate Editor for the Proceedings of Singapore Healthcare, and Research Lead at the SGH Allied Health Division. His research focuses on using technology and analytics to assess, predict, and improve physical function – particularly in patients with knee osteoarthritis. He has over 130 peer-reviewed publications and he is a recipient of the NMRC (i) Transition Award in 2018, (ii) NHIC I2D grant in 2022, and (iii) HPHSR Clinician Scientist Award in 2024. Find out more about the podcast series at www.sgh.com.sg/about-sgh/news/hospital-of-the-future [www.sgh.com.sg/about-sgh/news/hospital-of-the-future] #SingaporeGeneralHospital website: www.sgh.com.sg [www.sgh.com.sg] #SGH #SGHHospitalOfTheFuture #podcast #healthcare #innovation #healthcareinnovation #hospitalinnovation #DareToInnovate