Thursday 14 August 2025 | 10:40-12:10 

Format: Session

Stream: People

Part 1: Person-Centred Improvement through ESTHER Network Singapore: Making What Matters To Our Patients A Reality

This talk showcases ESTHER Network Singapore’s innovative approach to person-centred improvement, which not only starts with our patients (or Esthers) but actively involves them in the design and implementation of person-centred care improvement for meaningful and sustainable change in health and social care delivery. The session unveils the ESTHER person-centred care philosophy and our nine-year journey of co-creation through real-world examples. Learn how we foster cross-sector synergy, bridging gaps between patients, health and social care providers and key stakeholders. We’ll share our approach to measuring what matters to patients and candidly discuss challenges and lessons learned. Through compelling real-world case studies and patient stories, we demonstrate that person-centred improvement is not just an ideal, but an achievable and necessary reality. Join us to explore how the person-centred improvement approach can drive meaningful and sustainable change in health and social care.

Key session outcomes:

1. Understand ESTHER Network Singapore’s key principles of person-centred care improvement and co-creation.
2, Identify strategies for meaningful patient engagement and cross sector collaboration in health and social care initiatives.
3. Gain practical insights from real-world examples, challenges and lessons gleaned over nine years of person-centred care improvement.

Joy Tan Meiling Singapore General Hospital; Singapore

Part 2: Southcentral Foundation’s Journey with Co-Creating Healthcare with the Alaska Native Community?

25 years ago, Alaska Native people chose to assume responsibility for their own health care, breaking away from a federally-run system that did not meet the needs of the community. Southcentral Foundation (SCF), an Alaska Native-owned and operated system, now provides health care and related services to approximately 70,000 Alaska Native and American Indian people in southern Alaska. SCF’s relationship-based Nuka System of Care was built from the ground up by and for the community it serves, creating a system where patients are active partners in their care. This has led to greatly improved quality of care for the community, as well as increased customer and employee satisfaction. This session will cover how SCF worked with the Native community to transform the health care system, how it maintains the system according to the community’s values, and how the system has led to improved health outcomes for the community.

Key session outcomes:

1. Describe how SCF worked with the Alaska Native community to transform the health care system
2. Identify the key elements of SCF’s relationship-based system of care
3. Analyze how SCF’s transformed system supported the Alaska Native community in achieving better health outcomes

Doug Eby Southcentral Foundation; USA 
Gerard Asselin Southcentral Foundation; USA 

Part 3: Accelerating Value-Based Healthcare in the National Healthcare Group – Our Story

This session will feature our journey and lessons learned over the past two decades on Value-Based Healthcare processes and ground up initiatives, from patients to populations. For the medical workstream, we will showcase Asthma as an example, taking a National, Cluster and Institutional lens, with integrated care pathways (ICPs) and how we improved the country’s mortality and DALYs (Disability Adjusted Life Years). We will share key quality improvement efforts within and across settings and systems. Current challenges to care and future directions will be explored. For the Surgical workstream, we will share in detail our Enhanced Recovery After Surgery (ERAS) programme, and how it has helped reduce complications, length of stay and costs for patients and the system. By sustaining and scaling ERAS across different surgical subspecialties, ERAS is a Value based care enabler for improved surgical outcomes with cost reductions. For the Finance workstream, we will share how we are using Financing as a lever to bend the cost curve. This would include varying financing of patient care by care settings to incentivize care shifts, focusing on specific population segments such as high utilizers who consume disproportionately higher cost of care, and analyzing variations in Top Diagnosis Related Groups (DRGs).

Key session outcomes: 

1. Gain insights from implemented practices to adopt into their own practice settings.
2. Understand how Value based healthcare is instituted in a cluster hospital network, with end-to-end integration and evaluation.
3. Participants will be able to understand challenges and solutions in PROM adoption and implementation within an Electronic Medical Record System (EMR).
4. Use an evidence-based approach to identify variations at practice level and scaling of best practice approaches.
5. Understand how financing can be used to complement clinical care transformation and integration.

John Abisheganaden Tan Tock Seng Hospital; Singapore
How Kwang Yeong Tan Tock Seng Hospital; Singapore