ANNEX A CITATIONS OF NMEA 2010 WINNERS NATIONAL OUTSTANDING CLINICIAN MENTOR AWARD 2010 PROFESSOR HO LAI YUN Singapore General Hospital KK Women’s and Children’s Hospital Yong Loo Lin School of Medicine, National University of Singapore Duke-NUS Graduate Medical School Ministry of Health “For his distinguished and outstanding contributions in continuing tertiary education at institutions and to the community in Singapore and the region, particularly in the areas of neonatology, developmental paediatrics, child health and development, welfare and protection” Professor Ho Lai Yun is currently a Senior Consultant at the Department of Neonatal & Developmental Medicine at Singapore General Hospital (SGH) and the Department of Child Development at KK Women’s & Children’s Hospital (KKH). Professor Ho is also a Clinical Professor, Yong Loo Lin School of Medicine, National University of Singapore (NUS) and Associate Dean of SGH Campus and concurrently is a Professor at the Duke-NUS Graduate Medical School (GMS). Professor Ho is well recognized in Singapore for his contribution in the development of the field of neonatology and child development. His efforts were instrumental in establishing neonatology as a subspecialty in paediatrics in Singapore. He was the founder and head of SGH’s Neonatal Care Unit from 1986-2004. Under his leadership, he pioneered many important programmes in perinatal care such as birth defects clinics, perinatal counselling services, multidisciplinary high-risk consultations, and neonatal follow-up programme, bringing in a new era of collaboration with obstetricians. He also initiated congenital hypothyroidism screening and neonatal hearing screening as early as 1990, both have since become nation-wide screening programmes. Professor Ho is also very involved in fostering the area of early child development service in Singapore. In 1989, on the recommendation of the Advisory Council on Disabled, he founded the Development Assessment Clinic at SGH in 1991, heading the unit through its move to KKH as the Child Development Unit and eventually becoming the Department of Child Development. Under his leadership from 1991-2008, Professor Ho had successfully established the reputation of the department, becoming an important local and regional referral centre. He has also acted as a regional mentor and teacher to similar programmes in neighbouring countries. Together with his involvement as Director of the Child Development Programme at Ministry of Health since 2002, he has brought developmental paediatrics to new heights in Singapore and in the region. Professor Ho continues to lecture at both the Yong Loo Lin School of Medicine at NUS and the Duke-NUS GMS, inspiring the lives of young medical students through his History of Medicine lecture series and tutoring trainees in both basic and advanced courses. He was also the co-chair of the Joint Committee for Specialist Training (JCST) from 2006-2008, as Master of the Academy of Medicine, Singapore and continues to serve in the Specialist Training Committee (Paediatrics) and the Subspecialty Training Committee (Neonatology), as well as the Residency Advisory Committee (Paediatric Medicine). He also serves in the Continuing Medical Education, Maintenance of Competency, and Schools Review Committees of Singapore Medical Council. Through his various educational roles, he has mentored many young clinicians, out of which many of his mentees have grown to be outstanding clinicians, including heads of departments and established consultants. Professor Ho is also popularly known as the “Face of Touch” in Singapore, personally involved in teaching Touch Therapy at many community clubs for many years in Singapore, actively encouraging parent-infant bonding. Under his leadership as Vice-Chairman of Singapore Children’s Society and the Chairman of the Research and Advocacy Standing Committee, he initiated several pioneering research on child abuse and neglect, as well as parenting practices in Singapore. He has spearheaded many programmes to improve various aspects of developmental health of children in the region. In recognition of his contributions to child abuse and neglect prevention, he was conferred the Henry C. Kempe Distinguished Career Award by the International Society for Prevention of Child Abuse and Neglect (ISPCAN) in 2008, an award given to an individual working in this field from any part of the world once in two years. Internationally, Professor Ho has won recognition for his educational and community work on the development of paediatrics and children health in the Asia-Pacific Region. He was awarded the “Outstanding Paediatrician in Asia” Award in 2003, by the Asia-Pacific Pediatric Association, previously known as Association of Pediatric Societies in Southeast Asian Region (APSSEAR). He is one of the two Singaporeans ever to receive this award so far. He was also recently nominated to represent the Asia-Pacific Region in the Standing Committee of the International Pediatric Association. For his distinguished and outstanding contributions in continuing tertiary education at institutions and to the community in Singapore and the region, particularly in the areas of neonatology, developmental paediatrics, child health and development, welfare and protection, Professor Ho Lai Yun is awarded the 2010 National Outstanding Clinician Mentor Award. NATIONAL OUTSTANDING CLINICIAN AWARD 2010 PROFESSOR A VATHSALA Division of Nephrology, University Medicine Cluster National University Hospital “For her contributions in developing and raising the standards of healthcare delivery and policy implementation in the field of nephrology and renal transplantation” For the past two decades, Professor A Vathsala has been closely involved in the renal transplantation scene in Singapore. As one of Singapore’s leading renal physicians in the area of nephrology and renal transplantation, she has been at the helm of many milestones in renal transplantation in Singapore, including the first spousal kidney transplant in 1991, crossmatch positive deceased donor kidney transplants since 2007, and the rare blood group incompatible and cross match positive kidney transplant performed at National University Hospital in 2009. Her sustained efforts in pushing for lifetime government subsidies for immunosuppresants for transplant patients is a reflection of the passion Professor Vathsala has for her patients. Working together with the Ministry of Health, she was instrumental in getting 50% government co-funding for the cost of immunosuppressant use from one year to the entire lifetime of a transplant recipient. Her research studies have likewise focused on optimizing the use of immunosuppressants in transplant patients so as to improve outcomes while reducing their side effects. These efforts have translated into improved transplant patient care and outcomes and raised the reputation and standards of renal transplantation at two of Singapore’s public hospitals, hence putting Singapore on the world map in the area of renal transplantation. Her achievements include developing the Singapore General Hospital to become the single largest renal transplant program in Singapore, managing 70 to 80 new kidney transplants annually. Since her move to National University Hospital two years ago, NUH has also significant developments in its adult renal transplant programme under her directorship. Under her guidance, the outcomes of renal transplantation in Singapore’s public hospitals are among the best in the world. Her efforts have had a significant impact on the lives of transplant patients, making therapies more effective yet affordable, resulting in high patient compliance and excellent clinical outcomes. Professor Vathsala is a renowned figure in renal medicine and her leadership in this area is recognized internationally. She is past President of the Asian Society of Transplantation, an executive committee member of the Declaration of Istanbul Custodian Group and was invited by the Ministry of Health to represent Singapore as the co-Chair at a meeting on organ donation and transplantation organized by the World Health Organization. She is currently is a Senior Consultant and Head of the Division of Nephrology, National University Hospital and the Director of the Adult Renal Transplantation Programme. She is also a Professor of Medicine at Yong Loo Lin School of Medicine, National University of Singapore. For her outstanding contributions to the field of renal medicine and renal transplantation, her significant accomplishments in improving transplant patients’ outcomes and her efforts in establishing Singapore as a center of excellence for renal transplantation, Professor A Vathsala is awarded the 2010 National Outstanding Clinician Award. NATIONAL OUTSTANDING CLINICIAN SCIENTIST AWARD 2010 PROFESSOR WONG TIEN YIN Singapore Eye Research Institute Singapore National Eye Centre National University Health System “For his outstanding contributions to research in the area of retinal vascular diseases and development of innovative retinal imaging platforms for cardiovascular and metabolic disease diagnosis” Professor Wong Tien Yin is one of Singapore’s clinician-scientist pioneers and an accomplished ophthalmologist. Professor Wong’s research is revolutionary and multi-disciplinary in nature, bridging the field of ophthalmology with computer imaging, cardiovascular disease, neurology, diabetes and epidemiology. His efforts have led to the generation of novel research knowledge that has proved that retinal imaging could be useful to understand basic mechanisms in human vascular and metabolic diseases such as stroke, heart disease, diabetes and hypertension. Over the years, he has built up a broad-based research program, managing to develop innovative diagnostic platforms which can assess a patient’s cardiovascular and diabetes risk by having a simple retinal photograph. He has shown that this predictive nature is independent of traditional tests, and is useful even in people at low risk of cardiovascular disease. This has great significance to the public health benefits for Singapore and other countries where cardiovascular disease and diabetes is the leading cause of death and morbidity. Professor Wong’s work is widely recognized internationally and he is widely cited for his work on retinal vessels. He has published more than 450 peer-reviewed papers, including papers in the New England Journal of Medicine and the Lancet. He has awards not only in ophthalmology, but also in the fields of cardiovascular disease and diabetes. For example, he is the only ophthalmologist worldwide to receive the Sandra Doherty Award from the American Heart Association for cardiovascular research and only the 2nd ophthalmologist to receive the Novartis Prize in Diabetes Global Award. He has won the Outstanding Researcher Award at NUS twice. He is also the recipient of the prestigious Singapore Translational Research Investigator award, which has led to the formation of a major multidisciplinary research effort, pulling together local and oversea partners, including industry partners, to further translate his research into clinical care and potential commercial applications. Professor Wong is the director for the Singapore Eye Research Institute and holds the position of senior consultant at the Singapore National Eye Centre and the National University Health System. He is also a Professor at the Department of Ophthalmology at the National University of Singapore. For his outstanding contributions in translational and clinical research in ophthalmology and his novel approach in linking retinal imaging to diagnose human vascular and metabolic disease, Prof Wong Tien Yin is awarded the 2010 National Outstanding Clinician Scientist Award. NATIONAL OUTSTANDING CLINICAL QUALITY ACTIVIST AWARD 2010 ASSOCIATE PROFESSOR TAN KOK HIAN KK Women’s and Children Hospital Yong Loo Lin School of Medicine, National University of Singapore Duke-NUS Graduate Medical School “For his outstanding contributions in championing clinical improvement and quality, particularly in the area of perinatal care, significantly enhancing clinical efficacy and ensuring better patient outcomes” Associate Professor Tan Kok Hian is a quality champion at the KK Women and Children’s Hospital (KKH). He has been systematically studying perinatal mortality and published his findings in both local and internationally peer reviewed journals since the 1990s. He conceived and oversaw the implementation of the Labour Ward Risk Management Programme to improve the safety and quality of birth delivery. This initiative included a rapid emergency cesarean section mobilisation system and also a reporting system of near misses in the delivery suite which proved instrumental in instilling a culture of reporting and continuous system improvement. The programme won the Asia Hospital Management Award (AHMA) 2004 under the Patient Safety and Risk Management Category. He has since been called upon to share these successful initiatives in numerous conferences and workshops throughout Asia. Under Associate Professor Tan’s able leadership the number of successfully completed Clinical Practice Improvement Programme / Process Improvement Project (CPIP/PIP) projects grew from five in 2005 to 25 in 2009. These projects achieved a total cost savings of almost $3 million over the last financial year. His efforts earned KKH accolades not just at the national level but also at the international level. A project of note that A/Prof Tan led was the Integrated Perinatal Care Project, which resulted in KKH having one of the lowest maternal & perinatal mortality and eclampsia rates for a tertiary hospital in the world. That project won the Ministry of Health Clinical Excellence Award in 2008 as well as the World Health Organisation’s (WHO) United Arab Emirates Health Foundation Prize in 2009. As Chairman of KKH Joint Commission International (JCI) Core Committee since 2005, Associate Professor Tan and his team led KKH in attaining JCI accreditation in the same year. The team’s sterling efforts also won KKH a merit award for Human Resource Development at the 2006 AHMA. He also led the team to renew JCI accreditation in 2008 and the outstanding KKH staff participation in quality improvement activities and the maintenance of a continuous high level of performance won the JCI surveyors’ praise. Associate Professor Tan is currently the Chairman of KKH’s Division of Obstetrics and Gynaecology and Associate Professor at both the Duke-NUS Graduate Medical School and at the Yong Loo Lin School of Medicine, National University of Singapore. He is also Director of Clinical Quality and Chairman of the Patient Safety Council, playing a pivotal role in overseeing the implementation of Clinical Quality and Patient Safety initiatives. Recognizing his significant contribution and role as a clinician champion of quality improvement, and for his leadership, zeal and enthusiasm in helping to create and develop a culture of constant learning and improvement at KKH, as well as for his successes particularly in enhancing clinical efficacy and ensuring better perinatal care outcomes, Associate Professor Tan Kok Hian is awarded the National Outstanding Clinical Quality Activist Award 2010. NATIONAL OUTSTANDING CLINICAL QUALITY ACTIVIST AWARD 2010 MRS NELLIE YEO National Healthcare Group National Healthcare Group College National University Hospital “For her sustained contributions in raising and sustaining the standards and quality of Singapore’s healthcare sector, resulting in better patient safety and health outcomes” Mrs Nellie Yeo has made significant contributions in the development of clinical and healthcare quality in Singapore across both the public and private sector. Throughout her career, spanning almost two decades, she has made quality in clinical practice and upholding patient safety standards her central focus. A healthcare nurse by training, Mrs Yeo started getting involved with clinical quality work at Gleneagles Hospital, where she implemented the voluntary reporting of hospital occurrences system and helped Parkway Group Hospitals attain ISO certification in 1994. Later, as Director of Quality Improvement Unit, she led NUH to achieve triple ISO status in 2001, and spearheaded quality programmes across the National Healthcare Group (NHG) institutions. Among these were Clinical Practice Improvement Programme, Adverse Events Studies and Clinical Review Programme - all of which have now become well-established programmes today. Through her sustained efforts, she first led NUH and then NHG Polyclinics and National Skin Centre to be Singapore’s first public hospital, group of polyclinics and national centre, respectively, to attain Joint Commission International accreditation, a milestone in raising the quality standards of the public healthcare sector in Singapore. She initiated collaboration with international quality experts such Professor David Bates from the Harvard Medical School to rollout the medication safety collaborative which helped encouraged electronic prescriptions, flagged high risk medications to be managed, and introduced medication reconciliation. This has resulted in an electronic drug administration system which has helped reduce harm and improve quality of care. She has also launched a local collaborative with infectious disease doctors and infection control nurses to combat methicillinresistant Staphylococcus aureus (MRSA). This included launching handwashing campaigns, active screening and surveillance; IT databases to flag patients for isolation and antibiotic stewardship programmes. This concerted effort resulted in the halving of the MRSA infection rates at NUH within just one year. Mrs Yeo is a respected figure among the quality champions in Singapore’s healthcare and has been instrumental in training many people in the aspects of clinical quality and in particular, she has conducted many “train the trainers” programmes, building up a pipeline of clinical quality resources. As Executive Director of NHG College, she was responsible for the reorganization of the school to cover clinical education, healthcare quality, healthcare leadership and skills development for both the acute and intermediate/long term care sectors. She is currently appointed as a JCI consultant and travels extensively to assist hospitals internationally in their quest to improve patient care through the adoption of JCI standards. For her outstanding contributions in raising and sustaining the standards and quality of Singapore’s healthcare sector, resulting in better patient safety and health outcomes, Mrs Nellie Yeo is awarded the National Outstanding Clinical Quality Activist Award 2010. NATIONAL CLINICAL EXCELLENCE TEAM AWARD 2010 PROFESSOR LIM TOW KEANG DR MALCOLM MAHADEVAN DR IRWANI IBRAHIM DR JASON PHUA University Medicine Cluster and Department of Emergency Medicine, National University Hospital “For their outstanding contributions in effective clinical knowledge translation in the use of non-invasive ventilation for the treatment of chronic obstructive pulmonary disease in Singapore” To the group of clinicians from the National University Hospital (NUH), the word ‘Non-Invasive Ventilation (NIV)’ is their pride and joy. As the team who pioneered the use of the alternative method to help chronic obstructive pulmonary disease (COPD) patients during severe disease exacerbations, they have managed to improve patient outcomes by reducing intensive care utilization, complications such as nosocomial infections, length of stays at the hospitals, improved survival rates and at the same time reducing hospitalization costs. The use of NIV was pioneered by Professor Lim Tow Keang’s team at NUH in the 1990s and was eventually extended to the Emergency Department in 2002. The procedure involves delivering mechanical ventilation through a mask around the nose and mouth, and is non-invasive in nature. This method is more effective and safer than the conventional more invasive intubation method. The project had a significant impact, resulting in a reduction of mortality rates of patients with severe COPD exacerbations by half. The reduction in hospitalization for such cases has also resulted in significant cost savings for patients and NUH. Following the team’s successful implementation at NUH, the use of NIV was extended to the emergency management of COPD in other restructured hospitals. As of FY2009, substantial cost savings of S$4 million had resulted for patients and hospitals implementing this programme. Additionally, through the experience gained by the clinicians in COPD patients, NIV has also been employed to treat other emergency conditions, such as bronchiectasis, pneumonia, asthma and cardiogenic pulmonary edema. For their outstanding contributions in bridging the gap between clinical knowledge and the effective practice of evidence-based medicine which resulted in the successful implementation of NIV in the emergency department, the team made up of Professor Lim Tow Keang, Dr Malcolm Mahadevan, Dr Irwani Ibrahim and Dr Jason Phua from the University Medicine Cluster and Department of Emergency Medicine, National University Hospital, is awarded the 2010 National Clinical Excellence Team Award. ANNEX B NMEA INFORMATION SHEET About the National Medical Excellence Awards The National Medical Excellence Awards is a national-level award given out to recognize the efforts of clinicians, clinician scientists and other healthcare professionals for their clinical and research work. It acknowledges their contributions in advancing healthcare, improving the standards of patient safety and quality of care which ultimately improve people's lives. National Outstanding Clinician Mentor Award The National Outstanding Clinician Mentor award recognizes individuals with at least 15 years of service in healthcare industry and health-related work and has contributed substantially in the training of young clinicians and clinician scientists via mentorship or by virtue of academic positions. Recipients will receive a plaque, a citation and a prize of S$10,000. National Outstanding Clinician Award The National Outstanding Clinician award recognizes individuals with at least 15 years of service in public or private healthcare establishments with exceptional contributions to clinical work that advances the safety and quality of patient care, and in addition has supported and facilitated research. The recipients have successfully introduced novel / effective treatment methods resulting in high standard of quality healthcare delivery and are recognized by one’s peers as being a master clinician. Recipients will receive a plaque, a citation and a prize of S$10,000. National Outstanding Clinician Scientist Award The National Outstanding Clinician Scientist award recognizes individuals with at least 15 years of service in public or private healthcare establishments with outstanding contributions to clinical and translational research work relating to their field of specialty. Their contributions through research work have resulted in novel understanding of diseases with potential positive outcome on healthcare delivery. Recipients will receive a plaque, a citation and a prize of S$10,000. National Outstanding Clinical Quality Activist Award The National Outstanding Clinical Quality Activist award recognizes individuals who have contributed significantly to clinical quality improvement and patient safety and have likewise, inspired others to do so. This is the only award that is open to all medical doctors, nurses, pharmacists and allied health professionals in the public and private healthcare sectors non-doctors. Recipients will receive a plaque, a citation and a prize of S$10,000. National Clinical Excellence Team Award The National Clinical Excellence Team award recognizes teams or organizations that have undertaken a clinical quality / practice improvement project that succeeded in making an outstanding contribution to improving patient safety and care through exemplary innovative transfer of benefits of research, novel methods or care delivery resulting in improved standards of care, health outcomes, higher efficiency and/or more effective patient centered services. The team should demonstrate their achievements through successful population of novel care delivery services beyond the unit / ward / department. Recipients will receive a plaque, a citation and a prize of S$10,000.