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

Format: Presentation

Stream: People

Part 1: A Public Hospital’s Ten-year Value Driven Care Journey Towards Sustainable Healthcare

The Changi General Hospital (CGH) Value journey which started almost a decade ago has seen tremendous progression in our approach towards delivering care that matters to our patients; from standardised care pathways to optimisation of care bundles. In this ever-evolving healthcare landscape where our patients are becoming older, frailer and have more co-morbidities, there is a need for a more innovative and sustainable approach in how we deliver care to ensure that our patients not only get well, but also stay well and continue to live well when they return home. Building on the successes and learning from the challenges of our journey thus far, we developed a robust SPORE (Significance, Prioritisation, Ownership, Resourcing and Enable) framework coupled with mindset building to inculcate value-consciousness in both staff and patients. The Mission-Method-People formula is the core fuel driving all value improvement activities across CGH and partners, to achieve sustainable excellence for our population across the care continuum

Jansen Koh Changi General Hospital; Singapore

Part 2: 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).

John Abisheganaden Tan Tock Seng Hospital; Singapore

Part 3: Sustainability and Effectiveness of the Introduction of Tunnelled Haemodialysis Catheter Management in the Community – the Singapore experience

This session, presented by Singapore’s National Improvement Unit (NIU), highlights how integrating improvement and implementation science enables the scale and spread of large-scale healthcare initiatives. Focusing on a national project addressing Tunnelled Haemodialysis Catheter (THC) complications, we showcase how this hybrid approach reduced hospital admissions, saved SGD 560,000, and enhanced patient outcomes through community-based care.Participants will learn the frameworks and strategies used to scale sustainable change, with a focus on aligning iterative testing (PDSA cycles) with implementation science principles such as acceptability, adoption, and sustainability.This session will provide actionable insights into driving systemic, patient-centred healthcare improvements. It will be especially valuable for leaders and change-makers looking to navigate challenges of scaling innovation while maintaining safety, quality, and cost-effectiveness.

Shiva Shangari Manoharan National Improvement Unit; Singapore