SPEAKERS

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Plenary 1: 'Transforming Healthcare – the Apollo Odyssey”

Professor Dr Anupam Sibal

Group Medical Director and Senior Pediatrician, Apollo Hospitals Group, India

Professor Anupam Sibal has been a paediatrician for twenty years. Prof Sibal established the division of pediatric gastroenterology and hepatology in 1997 at Apollo Hospital, Delhi. He helped set up the first successful pediatric liver transplant program in India at Apollo Delhi in 1998. Professor Anupam Sibal, is the Group Medical Director of the Apollo Hospitals Group (AHG). AHG is the largest integrated healthcare provider in India with 9000 hospital beds across 70 hospitals.

Prof. Sibal served as the only Asian Joint Commission International (JCI) Physician Surveyor from January 2008 to 2010. He currently is a member, Asia - Pacific Advisory Council of JCI. Professor Sibal is an Honorary Clinical Professor at Macquarie University, Sydney, Australia. He served as a member of the Institute Body (IB) of the Postgraduate Institute of Medical Education and Research, (PGIMER) Chandigarh from 2009 - 2014. IB is the highest decision making body of PGIMER headed by the Union Cabinet Minister for Health and Family Welfare.

He has served on the Executive Council of the International Pediatric Transplant Association, The Asian Pan Pacific Association of Pediatric Gastroenterology, Hepatology and Nutrition and the Commonwealth Association of Pediatric Gastroenterology and Nutrition and has lectured extensively in India and abroad. Prof.Sibal is the author of the National Best Seller "Is Your Child Ready to face the World?"

Exploring the crux of parenting, this book asks and answers whether your child is ready to face the world. Prof Sibal is on the Editorial Board of 3 Journals and has 115 publications. He has edited a Textbook of Pediatric Gastroenterology, Hepatology and Nutrition. He comments regularly in the print and electronic media on healthcare, pediatrics, leadership and parenting.

Abstract

The Apollo Hospitals Group is the largest integrated healthcare corporation in India. Starting with a 150-bedded hospital in Chennai in 1983, today the Apollo Group owns and manages over 9000 hospital beds across 72 hospitals. The Group has treated 60 million patients from 121 countries performing the most complex of surgeries at a success rate comparable to the best in the West. The Apollo Group provides a seamless healthcare delivery system encompassing quaternary, tertiary, secondary and primary care. The Group has a strong presence in allied fields such as hospital project consultancy, healthcare IT and Pharmacy retailing. The Group has Telemedicine units across 10 countries, a strong presence in Tele cardiology, Artificial intelligence and a JV with Munich Re in healthcare insurance. The Group is strengthening education and research activities with two Medical colleges, Post Graduate Medical Education (820 Residents and Fellows in 35 specialities), Medvarsity for e – Learning, ten institutes of nursing, Institutes of Hospital Management and Physiotherapy and a Research Foundation. Ask Apollo, an online consultation portal and Apollo HomeHealth complete the care continuum.
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Plenary 2: Mayo Clinic Affiliation Strategy: Putting the Patient First

Professor Dr David L. Hayes, MD

Enterprise Medical Director, Provider Relations Professor of Medicine, Mayo Medical School

Dr. David Hayes received his Bachelor’s degree in Biology and Doctorate of Medicine, with distinction, from the University of Missouri in Kansas City, Missouri. He completed his Internship and Residency in Internal Medicine, and his Residency in Cardiovascular Disease, at the Mayo Graduate School of Medicine in Rochester, Minnesota. He also completed training in cardiac pacing at Montefiore Medical Center in New York, training in nuclear cardiology at Cornell University Medical Center in New York, and a Traveling Fellowship at the Surgical Clinic Val d’Or in Saint Cloud, France. He is a past Chair of the Cardiovascular Division, Mayo Clinic, Rochester, Minnesota.

He has lectured worldwide and his interests in cardiac implantable devices have resulted in many publications on various aspects of pacing, defibrillation, and cardiac resynchronization therapy. He has published in excess of 300 peer-reviewed manuscripts and 460 abstracts. He is a past‐president of the Heart Rhythm Society and remains active in this organization as well as the American College of Cardiology and the American Heart Association.

Dr. Hayes currently serves as the Medical Director of Provider Relations with time devoted to the Mayo Clinic Care Network and Mayo Clinic International Relationships. In this role he is actively developing an affiliated practice network for the Mayo Clinic which currently includes more than 40 member healthcare organizations in 23 states, and 7 international sites.

Abstract

"The best interest of the patient is the only interest to be considered, and in order that the sick may have the benefit of advancing knowledge, union of forces is necessary." William J. Mayo, MD.

To advance Dr William Mayo’s vision, Mayo Clinic created the Mayo Clinic Care Network for members who share a common philosophy, commitment and mission to improve the delivery of health care through high-quality, data-driven and evidence-based medical care. Our network offers formal collaboration and knowledge-sharing tools to forge close connections with like-minded medical providers. Membership provides access to Mayo medical knowledge and helps organizations and medical professionals stay current with the latest research and ever-evolving science of health care delivery. Most importantly, patients gain the benefits of Mayo Clinic expertise from their trusted local provider, without the stress and expense of travel. It helps provide peace of mind for both patients and providers.
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Plenary 3: Innovation Journey of Myongji Hospital and the New Trend of Korean Hospital

Dr. Wang-jun Lee

Chairman and CEO of Myong-Ji Medical Foundation

Dr. Wang-jun Lee is one of the most influential person in the Korean healthcare sector. He is chairman and CEO of Myong-Ji Medical Foundation, and running two more acute hospitals and 3 LTC facilities. Also, he is CEO of Korea’s most influential healthcare news & publishing company, ‘The Korean Doctors' Weekly’, founded in 1992.

He is one of the leading NGO activists in the medial aid area for migrant workers in Korea, now serves as vice chairman of the Migrant Health Association in Korea.

As an Executive Chairman of international affairs of the Korean Hospital Association, he is in charge of general secretary of the Korea Healthcare Congress, which is top healthcare related annual congress in Asia.

He is also a CEO and Chairman of very venturous biotech company 'CancerROP' that is listed in KOSDAQ market, along with a cell therapy company 'MJ CellBio'

Dr. Lee graduated from Seoul National University, College of Medicine. He achieved board of surgery in Seoul National Univ. Hospital. He was awarded a Ph.D. degree from the same Univ.

Abstract

We are all anxious about the future of healthcare. The economic crisis is forcing many countries to make sweeping changes – politically, economically and socially. Further, slower economic growth when coupled with an ageing population, smaller tax-paying workforce and rising healthcare demands will force countries to address some deep seated, pernicious problems.

Historically, healthcare has tended to ignore these vexed issues by demanding a higher share of economic growth and employing more staff. We do not believe this is sustainable and assert that a more radical approach can deliver better quality and lower cost. We believe in new models of healthcare.

Also, Korea national health system does not always satisfy the growing needs of patients and does not always promptly incorporate new treatment opportunities. Patients demand safety, quick response, immediate intervention, personalization of services, in one word, they demand higher quality of care. Therefore it is imperative to adopt new tools at local, regional and national level, to offer better and safer care.

And anticipation of the future requirements is driving significant innovation in care delivery; keeping people healthy at anywhere anytime, patient engagement, active management of conditions. This presentation will explore all these dimensions in greater depth illustrated with examples of such innovations in Myongji hospital.
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Plenary 4: World Best Practice In Patient Experience – Turning Data into Outcomes

Terry Grundy

Principal of Asian Business for Insync Health, Australia

Terry has been at the cutting edge of healthcare experience in the Asia Pacific region for 22 years. He is Principal of Asian Business for Insync Health, the regional licensee for Press Ganey, the world’s leading company in patient experience assessment with over 33,000 client facilities across 18 countries. Internationally 158 million patients, employees and Doctors receive a Press Ganey survey each year.

Many of the world’s recognised high performers like The Mayo Clinic, Johns Hopkins the Cleveland Clinic engage Press Ganey services, so he has insight into world’s best practice. Terry has a proven ability for coaching hospitals to turn their data into action.

Terry’s previous experience includes Partner of Studer Group Australia, a world-renowned healthcare culture change organisation, Director of a specialised oncology home care business and Director of 2 companies promoting medical tourism into Australia.

Terry’s experience in partnering every day with healthcare organisations, puts him in a unique position to present an evidence-based approach into the key factors that create and sustain excellence.

Abstract

Health care is an industry whose focus on quality and improvement is second to none. Health care staff attend countless conferences, workshops and in-house training programs. If we all have been trained in these processes why is it that we have facilities that achieve outcomes, and others not. Why do some organisations move at different speeds when it comes to implementing change or sustaining quality improvement?. Press Ganey, the world’s leading company in patient experience assessment with over 33,500 client facilities, conducts ongoing research to find out why.

Those who succeed do so because their Executives say ‘follow me’ when it comes to driving quality and patient centred care – through their leadership they …..

- focus on the operating metrics that correlate or drive the desired results of the organisation, (patient experience, clinical quality, employee and clinician engagement);
- sustain an in-built leadership engine that hardwires behaviours and operational outputs;
- provide evidence and support every time they need to implement change processes
- conduct validation processes with patients to check performance;
- invest in developing communication skills;
- are transparent in communicating their outcomes (the good, the bad, the ugly).

Terry will showcase industry examples of how these high performers are implementing and sustaining improvements and provide practical tips on applying the tactics in your own environment.
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Symposium 1.1: Patient Safety Culture Scorecard for Trainee at Entry to Practice

Associate Professor Dr Faizah Safina

Academician, KPJ University College

Associate Professor Dr Faizah Safina is an academician with 20 years of teaching and research experience. She involved with policy quality improvement at University Malaya as Internal Auditor, and as Technical Committee for SIRIM Berhad Health Informatics Standards. She contributed to research quality improvement in KPJUC as director of Research Management Centre and obtained KPJUC first Fundamental Research Grant Scheme from government. She has consistently contributed to curriculum quality improvement and KPJUC obtained full accreditation for Bachelor of Pharmacy Program when she was the program coordinator. Currently, she coordinates a project related to patient safety competence among trainee healthcare professionals.

Abstract

KPJ Healthcare Berhad is a trusted Malaysian brand that offers healthcare services which focuses on improving patient outcomes. The Group including KPJ Healthcare University College (KPJUC) must maintain efforts to adhere to the Malaysian Patient Safety Goals (MPSG). We introduce a long-term quality improvement (QI) project, as an effort to create patient safety culture (PSC) awareness among trainees at KPJUC. Firstly, it is important to have a validated PSC scorecard to measure the trainees’ perspectives of their own patient safety competence. We tested face validity on three versions of Health Professional Education in Patient Safety Survey (H-PEPSS): original, modified and Bahasa Malaysia-translated. Using the chosen modified H-PEPSS, we conducted cross-sectional study among final-year of all disciplines both diploma and bachelor programs. A set of descriptive data and factor analysis will be presented to provide audience overview on the current status and to get input before further on this QI project.
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Symposium 1.2: Mortality and Morbidity Reviews: A Systematic Approach Should Enhance Quality Innovations

Professor Dato’ Dr Azizi Omar

Consultant Pediatric Respiratory Physician, KPJ DamansaraSpecialist Hospital

Professor Dato’ Dr Azizi is a Consultant Pediatrician and Pediatric Respiratory Physician at KPJ Damansara Specialist Hospital where he was also the Medical Director for 19 years from 1997 until May 2016. He is also a Professor and member of the Senate and heads the KPJ’s Research and Quality Innovation Committee and edits the KPJ Medical Journal. He was appointed to the Board of KPJ Healthcare Bhd on 1 February 2016 as an Independent Non-Executive Director. He is also a member of KPJ’s Medical Advisory Committee.

He was formerly a Professor of Pediatrics (Respiratory Pediatrics and Clinical Epidemiology) at the UniversitiKebangsaan Malaysia where he also served as the Head of the Department of Pediatrics and a Deputy Dean (Research and Development) until his optional retirement in 1997 to join Damansara Specialist Hospital. He had also served as Adjunct Professor of Pediatrics at the Faculties of Medicine and of UITM and UTAR. Prof Dato’ Dr Azizi was born in Jitra, Kedah in 1949. He was educated at the Sultan Abdul Hamid College, Alor Star and the Royal Military College, Sungai Besi. He obtained his MBBS at University of Tasmania in 1977. He pursued postgraduate training in Pediatric and Pediatric Respiratory Medicine in Hospital Kuala Lumpur / University Kebangsaan Malaysia, the Hospital for Sick Children, Great Ormond Street, London, the Birmingham Children Hospital and Dudley Road Hospital, Birmingham. He trained in pediatric flexible bronchoscopy at the University of North Carolina, Chapel Hill, USA, and in clinical Epidemiology and Research Methodology at the University of Newcastle, Australia. He obtained his MRCP (UK) in 1982 and MMedSc (Clinical Epidemiology) from Newcastle University, NSW, in 1990. He became Fellow of Royal College of Physician (FRCP) of Edinburgh (1994) and Glasgow (1995), Fellow of Academy of Medicine Malaysia (FAMM) (1997) and Fellow of College of Chest Physicians (USA) (FCCP) (1998). He received a Harvard Medical School Certificate for Healthcare Leadership (1-year program 2017-18). He was conferred Darjah Kebesaran Indera Mahkota Pahang (DIMP) in 2004.

Awards / Recognition / Past Experience
- Established the Respiratory Paediatrics as a Paediatric subspecialty in Malaysia
- Pioneered research in paediatric asthma and respiratory illness in Malaysian children
- Published substantially in international and local journals

Abstract

MMRs are routinely done but their benefits have been debatable. Changes can be made to improve their impacts on quality improvement. It has been shown that done in a structured fashion they can promote learning of key quality and safety concepts. A successful model should consist of five key elements: appropriate case selection, structured case analysis, creation and dissemination of important learning points, the development of effective pathways for action, and interprofessional and multidisciplinary participation. A structured MMR should logically result in a large number of action items that lead to quality innovations.

We are introducing a systematic approach that focuses on systems and processes, emphasizing on collective accountability rather than individual blame. We are guided by Just Culture principles in our deliberations on errors and systems failures. Detailed root causes analysis or peer review processes may follow these deliberations. Patient safety culture should be impacted positively by this approach to MMR.

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Symposium 1.3: Reengineering To-Take-Away (TTA) Medication Process At Inpatient Pharmacy To Meet Customers’ Expectation

Syarifah Siti Nur Fadilah Bt Wan Abdul Wahab

Pharmacist, KPJ Johor Specialist Hospital

Syarifah Siti NurFadilah Bt Wan Abdul Wahab is a Fully Registered Pharmacist at KPJ Johor Specialist Hospital. Syarifah has joined and presented the project called ‘War Against Waiting Time’ at Regional Team Excellence (RTEx) Convention which was held in Malacca on July 2019 and was awarded with Gold Award. The Team Excellence convention provides a platform for quality circle practitioners and enthusiasts to learn from the experiences and good practices of organisations and teams. She has served KPJ Johor for around 1 year and 5 months, and holds a Master of Pharmacy with honours from The University of Nottingham, United Kingdom.

Abstract

The time-consuming TTA process often results in patients waiting long hours to receive their medicines. The objectives for this project are to comply with the Quality Improvement Activity (QIA), and to reduce medication error.

TTA waiting time at KPJ Johor Specialist Hospital in 2017 were analysed. Results showed 24.45% (3,188) TTA medications were prepared beyond 30 minutes and there were 0.24% TTA medication error reported.

Analysis made showed bottle neck processes and SCAMPER tools were used to come up with solutions such as to create a queueing system, notification alert system, role utilization, utilization of K-CIS, time monitoring, pre-discharge prescription and indent priority system.

The target of project was met as reduction of the processing time which led to QIA achievement of 82.72% from January to December 2018 were recorded, and lessermedication error were reported.

The solutions implemented has ensured smoother workflow, maintain customer satisfaction, and higher hospital's reputation.
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Symposium 2.1: Patient Experience Driving Success

Terry Grundy

Principal of Asian Business for Insync Health, Australia

Abstract

Patient-centred care is not only essential to meeting patients’ needs and expectations, it is also the key to competitive success in the new, consumer-driven health care marketplace.

But patient experience is not just about customer service. Patient experience is about understanding every patient should be assured safe, high-quality, coordinated care that is delivered with empathy and compassion.

Press Ganey, the world’s leading company in patient experience assessment with over 33,500 client facilities conducted research which demonstrates the relationships between safety, quality, patient experience and caregiver engagement. We found that organisations with top-quartile patient experience scores have higher performance on safety and quality measures than those with bottom-quartile performance. Similarly, organisations with a highly engaged workforce perform better on safety, quality and patient experience measures than those with low engagement. And high performance in all these areas influences financial outcomes.

Specifically, research indicated the following:

• Patients’ perceptions of their care experience influence safety and quality of care.
• Both workforce engagement and patient experience of care influence organisations’ financial performance.
• PROFIT: a five-point increase in patient experience is associated with a 1% increase in profit margin

Terry will connect the dots between the perceptions and experiences of both patients and caregivers and business performance and outcomes.

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Symposium 2.2: JCI Certified Orthopaedic Centre of Excellence

Dr Pattara Kosanunt

Director of Orthopedic Department, Vejthani Hospital, Thailand

Dr PattaraKosanunt is the Director of Orthopedic Department for Vejthani hospital which has been accredited by Joint Commission International since 2010. He is graduated with a fellowship for spine surgery from Chulalongkorn University, Thailand.

He is specialized in spinal surgery which includes minimally invasive procedure, endoscopic spine surgery, navigator assist spine surgery and robotic assist spine surgery. The hospital has been recognized as one of the leading medical tourism destinations in Thailand. Doctor Pattaraholds the degree of Doctor of Spine Surgeon, specialize for spinal surgery which include minimally invasive procedure, endoscopic spine surgery, navigator assist spine surgery and robotic assist spine surgery.

Abstract

Lumbar spine fusion is the most common spinal operation in Vejthani hospital. However, scientific databases show that the success rate of spinal fusion is very varied, range from 60 to 90%. So our main concern is how to reduce inappropriate variation in practice and maximizing success rate of operation.

CCPC is an important tool that will help to diminish practice variation in each physician. It can also help to describe appropriate care based on the best available scientific evidence. There are many steps to set up CCPC program. First step is to find the program that worth to be set as CCPC. It should be the procedure that has been done most or the procedure that has the most variation in each physician. Then we have to review scientific data about standard guideline for that procedure. Finally we have to set KPI to evaluate workflow in each case.
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Dr Terdsak Cherdshoo

Cardiologist Vejthani Hospital, Thailand

Dr Terdsak Cherdshoo graduated in medicine from Chulalongkorn University since 2000. He started working in Vejthani Hospital as a cardiologist. After that, he began to practice in the JCI standards for almost 10 years.

He was appointed as the Director of Quality Management since 2015.. he is the leader in the implementation if JCI standards for hospital accreditation. He also has extensive experience in CCPC certification until Vejthani Hospital is one of the most accredited CCPC hospitals in Thailand.

Abstract

My session will share experiences from the perspective of those who have complied with JCI standards and learned from real situations over a period of nearly 10 years. The question that many people may be wondering is how to establish a JCI Certified Orthopedic Centre of Excellence. From the perspective of the practitioner can be summarized as follows:

1. Beginning with the Safe Health Design Principles. Design is a major part of helping eliminate errors in health care and is a major contributor to patient safety
2. In addition to the fundamental Patient Safety and hospital Standard, the CCPC will be an expressway for being an excellent center, The implementation of evidence-based clinical practice guideline is a shared commitment of medical professionals from different medical schools, but under this commitment, everyone will follow under the same uniform care. Interdisciplinary collaborations that are not just doctors. All professions will perform their duties according to their interdisciplinary role fully
3. The heart of being a successful excellent center for safety and business is patient good experience and engagement. A Care Coordinator or Patient Advocacy should be available for addressing patient complaint, to provide patient support, to maintain communication between patient and health care provider, to ensure patient questions about the appropriateness of treatment.
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Symposium 2.3: How We Established the Stroke Network in Thailand

Professor Dr. Nijasri C. Suwanwela

Director of Chulalongkorn Comprehensive Stroke Center and the Chula Neuroscience Center

Dr. Nijasri C. Suwanwela is a Professor of Neurology at the Chulalongkorn University in Thailand. She received her medical degree and completed her residency in neurology from Chulalongkorn University. She was awarded by Anandamahidol Foundation and had her fellowship training in cerebrovascular disease at the Massachusetts General Hospital in Boston, USA. She also received a Certificate in Neurosonology from the American Society of Neuroimaging. Dr.Suwanwela pioneered the ‘Stroke Fast Track’ program and the use of thrombolysis in acute ischemic stroke in Thailand. She is presently the Director of Chulalongkorn Comprehensive Stroke Center and the Chula Neuroscience Center. She is the President of the Neurological Society of Thailand and also the Vice President of the Thai Stroke Society. She published many articles in international peer-reviewed journals. She also delivered many local and international lectures.

Abstract

Stroke is the number one leading cause of death and a major cause of long term disability in Thailand. Attempts have been made in order to improve the stroke care system with the collaboration between universities, stroke related professional organizations, health care payers, and the ministry of public health. More than 20 years ago, the “Stroke Fast Track” program was initiated, aiming to enhance the efficiency of acute stroke treatment starting from the emergency room. This program is now widely available throughout the country, resulting in higher rate of rt-PA treatment (up to 5%). The concept of stroke unit care was also adopted from the ministry of public health and every provincial hospital is encouraged to establish an acute stroke unit. Raising awareness about stroke among public and emergency medical service providers is another key to increase the accessibility of patients to the treatment. Telemedicine is becoming more widely available for stroke care in Thailand. The future direction of stroke care in Thailand is to expand the management to patients with hemorrhagic stroke and post stroke care.
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Symposium 3.1: Transforaminal Endoscopic Discectomy (TED), the KPJ Ipoh Specialist Hospital Experience

Dr Loh Choong Sing

Consultant Orthopaedic Surgeon, KPJ Ipoh Specialist Hospital

Dr.Loh has more than 20 years of involvement in spine surgery in degenerative management, correction of deformities and minimally invasive procedures. In recent years, he has embraced the technique of endoscopic spine surgery, largely in discectomy and decompression that are done under local anaesthesia and sedation.

As an orthopaedic surgeon, Dr.Loh maintains his strong interest in another major field of practice, namely hip and knee arthroplasty. Being a key opinion leader in spine surgery and arthroplasty, he has been invited as speaker and surgical skill demonstrator locally and regionally. He conducts workshops and live surgery attachments for surgeons and fellows in KPJ Ipoh.

Abstract

Endoscopic spine surgery is a fast growing field and heading for the gold standard in spine surgery. It has developed since the time of ParvizKambin who first described the transforaminal access through the safe zone called Kambin triangle in 1973. In the last 15 years, transforaminal endoscopic surgeries have exponentially increased worldwide made possible by mushrooming of randomized controlled trials and publications. However there has not been any significant report in literature locally at its infancy stage. A series of 52 cases of TED done under local anaesthesia and sedation at KPJ Ipoh between June 2018 and May 2019 were studied. These cases were characterized by short hospital stay, fast mobilization, early return to work, negligible scar and greater patient acceptance. However, a steep learning curve and relatively higher cost of the surgery are the current limiting factors faced by the surgeons and patients.
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Symposium 3.2: Analgo-sedation techniques for Transforaminal Endoscopic Spine Surgery

Dr Low Shiau Chuan

Consultant Orthopaedic Surgeon, KPJ Ipoh Specialist Hospital

A Resident Consultant Anaesthesiologist in KPJ Ipoh since 2012, Dr Low has over 15 years of experience in the field, handling a wide range of anaesthesia. Her main areas of interests include intravenous anaesthesia and cardiothoracic anaesthesia. As a fellow trainee for intensive care in 2011, she also has special interest in the ICU. She is the chairman of the hospital’s Code Blue Committee, and is ACLS certified. She also plays an active role in the Pain management and ICU Committees. With the current surge in demands for procedural sedation in minimally invasive endoscopic spine surgeries, she is endeavouring on perfecting the technique in this niche.

Abstract

Analgo-sedation is a rapidly evolving frontier in contemporary anaesthesia. An increase use is seen with the current establishing trend of endoscopic surgery. The advantages offered are particularly pertinent in transforaminal spine surgery, where a communicative patient who is rendered pain-free along with anxiolysis, is able to convey crucial and timely neural feedback to the surgeon, hence functioning as his own neuromonitor. The navigation of endoscopic instruments through the foramen is well tolerated unless direct contact on the nerve root occurs, when the patient should react and interact. The methods involve intravenous infusions to target controlled levels of remifentanil (as analgesic) and propofol or dexmetetomidine (as hypnotic). This dynamic technique allows titration to the desirable depths of sedation and analgesia for different stages of the surgery. It is inherently safe by virtue of maintenance of spontaneous respiratory function and cardiovascular stability. As a result, the patient is spared the unpleasant side effects of full general anaesthesia, and rapidly regains ambulatory function post-operatively, in line with ERAS (enhanced recovery after surgery).
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Symposium 4.1: Patient Care and Education Beyond Boundaries; Role of KPJ

Professor Dato’ Dr Lokman Saim

Vice Chancellor of KPJ Healthcare University College and the Dean, School of Medicine

Prof. Dato’ Dr Lokman Saim is Vice Chancellor of KPJ Healthcare University College and the Dean, School of Medicine. He is an ENT surgeon, with sub-specialization in Otology and Neurotology. He was formerly Professor of Otorhinolaryngology and Dean Faculty of Medicine and Director of Universiti Kebangsaan Malaysia MedialCenter.

Prof Dato’ Dr Lokman Saim is Past President of the ASEAN Otorhinolaryngology- Head and Neck Federation (1997 -1998). He is a member of College of Surgeons and Fellow of Academy of Medicine of Malaysia since 1995. He was President Malaysian Society of ORL – Head & Neck Surgeon in the year 1995. Throughout his career, he has won numerous awards for his clinical work and academic leadership. Amongst others are the Anugerah Dekan Fakultas Kedokteran, Fakultas Kedokteran Universitas Padjajaran, Bandung Indonesia in 2010, International Public Service Award, American Academy of Otolaryngology – Head and Neck Surgery Foundation in 2016, Honorary Fellow, Philippines Society of Otolaryngology-Head and Neck Surgeons 2016 and National Outstanding Educator Award (University Category) Private Education Excellence Award 2018 .

He received his Medical Degree from Universiti Kebangsaan Malaysia in 1984 and his Master of Surgery (ORL) from Universiti Kebangsaan Malaysia in 1991. He obtained his Fellowship of the Royal Colleges of Surgeons Edinburgh in 1989 . He undertook the Research Fellowship in Otology and Neuro-otology at Harvard Medical School, Boston USA in 1993-1994. He was appointed Clinical Professor at the School of Advanced Medicine, Macquarie University Sydney 2010- 2013.

Abstract

The objective of this presentation is to advocate training and mentoring amongst KPJ Medical Consultants that will contribute to the enhancement of specialist training beyond the boundaries of Malaysia - especially for the younger physicians in the less developed ASEAN countries. Private healthcare in Malaysia is recognized as amongst the best in the world. At KPJ, our consultants are amongst leaders in the specialty with vast experience in teaching and training. They partly own their success from the training received from renowned consultants in UK, Europe and Australia. It is timely for our consultants at KPJ hospitals to give back and provide training and exposure to the younger but less fortunate young physicians in the region. Many of them see Malaysia as a country they want to learn from and emulate our success. They can certainly benefit through “one-to-one, apprenticeship training” of between 6 to 12 months at KPJ hospitals. KPJ consultants will be regarded as their master-teacher. Through this strategy, KPJ hospitals will be recognized as the preferred referral hospital through recommendation by the specialists who have received training by KPJ consultants.
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Symposium 4.2: Role Of Simulation In Quality Improvement Program For Patient Safety

Professor Dr Ismail Saiboon

Medical Lecturer, Universiti Kebangsaan Malaysia (UKM)

Ismail Saiboon, medical lecturer from UKM. Graduate with MBBS(UM) 1994; M.Surg(Orth& Trauma) (UKM) 2003, and subspecialization Emergency Medicine(EM) 2004 (UKM). Completed Simulation Preceptorship at WISER, University of Pittsburgh and Certification in Simulation in Healthcare (CHSE) SSH in 2015. Developed several EM training programs i.e. UKM Postgraduate Emergency Medicine (for doctors) and BSc Emergency Medicine (UKM) for paramedic. Key research areas are Emergency Medicine, Pre-hospital care and Healthcare Simulation. Has 56 publications in local and international peer-reviewed journal, 3 books and mass media. He is also the AHA’s Training Center Coordinator (TCC) and Training Center Faculty for ACLS & ACLS EP; Chairman of the Malaysian Society for Simulation in Healthcare (MaSSH), board member of the Pan-Asian Society for Simulation in Healthcare (PASSH). Formerly, was the Deputy Dean, Deputy Director, Head of Emergency Department and Chairman of EM National Conjoint Committee.

Abstract

Patients’ care is very challenging nowadays for all level of healthcare professional (HCP). Patients usually have slight idea or information about their condition by the time they see a doctor from what they read in the internet. They know what they want, and what they expected to get from the health visit. On one hand the patients or public demand that the healthcare facilities provide them with the best care but on the other hand the opportunity for training to become competent HCP is getting less because patient refusal to cooperate as a teaching aid or subject. This situation leads to a ‘learning gap’ and it is growing. As a results patient’s care might not reach to a level of expectation or lead to more medical errors. In the USA, medical errors have been listed as the third commonest cause of patients’ mortality. We will discuss the role of simulation in bridging the gap of inadequate training exposure and the high demands of competence healthcare providers.
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Symposium 5.1: Burnout and the Second Victim

Dr Wong Yih Seong

Specialist in Internal Medicine and Clinical Haematology Hospital Sultanah Aminah Johor Bahru

Dr Wong Yih Seong MBBS, MRCP(UK) is a specialist in internal medicine and clinical haematology fellow currently practicing in Hospital Sultanah Aminah Johor Bahru. He obtained his membership to the Royal Colleges of Physicians of the United Kingdom in 2015, and was part of the inaugural class of graduates of the Harvard Medical School Southeast Asia Healthcare Leadership (HMS-SEAL) program. In his role as a clinical supervisor to medical students and junior doctors, he has developed a passion for issues related to medical education and the welfare of junior healthcare professionals.

Abstract

Mental health problems amongst medical professionals is an increasingly pervasive issue affecting the local and global healthcare landscape. An increased focus on physician burnout over the last year has rightfully directed long overdue attention on this problem, and correctly framed it as not just a human resource dilemma, but one with social, economic and clinical implications. The aim of this talk is to seek a better collective understanding as to what factors engender burnout amongst medical professionals, why these factors persist despite them being well established, and what we can do to confront and prevail over one of the most pressing healthcare issues we currently face. In this talk, the speaker will also share his experiences in initiating and developing a mental health support system for junior doctors in his institution, and hopefully trigger a dialogue towards answering the question - how can we care for our healthcare professionals better?
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Symposium 5.2: Mindfulness in the Workplace

Ko Teik Yen

Founding Director , LCCH Therapy Centre at Pantai Hospital Kuala Lumpur

KoTeik yen is a practicing Clinical Hypnotherapist & Mindfulness based therapy at The Mind Faculty, LifeCare Oncology and LCCH Therapy Centre at Pantai Hospital Kuala Lumpur. He is the Founding Director of LCCH Therapy Centre, visiting Clinical Hypnotherapist at the Dept of Orthopaedic Surgery, University Malaya Medical Centre for clinical trial in branchial plexus injury and chronic pain as well as the Senior Lecturer for London College of Clinical Hypnosis in Malaysia & Singapore since 2013.

TY Ko is also a Certifier Trainer with PSMB (HRDF) Reg. No. TTT/19702 and he conducts Mindfulness for Stress, anxiety and well-being program for adults regularly, in collaboration with the Mind Faculty since 2015.

He is a graduate of National University of Malaya with a degree in life science majoring in microbiology, a Master degree (MBA) from University of South Australia, Advance Diploma in Clinical Hypnotherapy at London College of Clinical Hypnosis, trained in teaching Mindfulness based Cognitive Therapy for Depression (MBCT) at University of Oxford Mindfulness Centre and Mindfulness based stress Reduction (MBSR) at Centre for Mindfulness, University of Massachusetts Medical School and is cerified and accredited Mindfulness Teacher, UK Breathworks and teaching of Mindfulness.b by Mindfulness in Schools Project (MiSP). He is currently pursuing his second master degree in professional counselling at University Malaya

TY Ko is a Therapist specializing in depression, burnout, stress and other anxiety related disorders, trauma healing & PTSD, chronic somatic complaints, irritable bowel syndrome, phobia, panic disorder, obsessive-compulsive disorders as well as patients undergoing cancer treatment and cancer survivors. He is also commonly consulted on parenting and parenting issues.

Apart from clinical hypnosis, he integrates mindfulness based interventions (e.g MBSR, MBCT, Acceptance & Commitment Therapy, Somatic Experiencing, Dialectical Behavior Therapy) as well as Solution focused brief therapy, EMDR, Ego-state therapy into his daily practice.

He is the author of: “Parenting 2.0 - Empowering Moms and Dads in Raising Respectful, Responsible, Resilient and Resourceful Children”.

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Symposium 5.3: Exercise in the Healthcare Environment

Dr Zulkarnain Jaafar

Senior Lecturer and Sports Consultant, Sports Medicine Department, UMMC.

A senior lecturer and a sports consultant in Sports Medicine Department, UMMC. He is a member of Malaysia Association of Sports Medicine and Sports & Exercise Medicine Research and Education Group, University Malaya. His expertise is in health and human performance, Lifestyle Medicine, Sports Injury and Prevention, and Musculoskeletal Medicine and Injection Therapy. His interests mainly in studying the aspect cardiorespiratory physiology, fitness, exercise prescription and health of the clinical population and obese people. He wishes to expand his research works especially on the impact of lifestyle on body composition, fitness, immune system, oxidative stress and health of an individual.

Abstract

Regular exercise has been shown to prevent cardiovascular diseases, overweight and obesity, high blood pressure, high cholesterol, diabetes mellitus, certain cancers, and premature death. Current guidelines recommend that adults should accumulate at least 150 min/wk of moderate-intensity aerobic exercise or at least 75 min/wk of vigorous-intensity aerobic exercise, which includes activities such as brisk walking, jogging, cycling, swimming, and participation in competitive sports. Despite the potential benefits of exercise, most adults do not achieve adequate physical activity levels. Lack of time is one of the most frequently cited barriers for regular exercise participation. Workplace physical activity intervention is one method that can promote health by reducing health risks and preventing disease incidence, which include reducing stress level, non-communicable disease, body weight and posture, smoking and alcohol consumption; and improve nutrition and increase physical activity and fitness level.
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Symposium 6: Proton Therapy in Cancer Management

Dr Ashwathy Susan Mathew

Consultant Radiation Oncologist , Apollo Proton Cancer Care Centre, India

Dr. Ashwathy Mathew is a Consultant Radiation Oncologist at the Apollo Proton Cancer Centre. She completed her medical school from Medical College, Trivandrum, Kerala and went on to train in Radiation Oncology at the Tata Memorial Centre, Mumbai. Her sub-specialty fellowship training from the Princess Margaret Cancer Centre, Canada is in the field of Stereotactic Radiotherapy for Gastrointestinal and Lung Cancers. She has a keen interest in Hepatobiliary cancers and has presented her work in several international meetings.


Abstract

Every year close to 12 million are diagnosed with cancer worldwide and this number is increasing every year. Emergence of modern proton therapy adds to this list of cutting edge advances, which will bring smiles and good health to millions who are affected with cancer. Apollo Proton cancer centre is the first state of art comprehensive cancer care facility in the entire south East Asia equipped with revolutionary pencil beam proton therapy technology with capability to deliver advanced intensity modulated proton therapy with latest and cutting-edge accessories to treat tumours in complex locations.


Proton therapy unlike other radiation therapy techniques does not deliver any doses beyond the tumour there by protecting surrounding healthy tissue from radiation damage. This is possible due to a peculiar physical property of proton beams called Bragg Peak. This defining physical feature makes it the best form of therapy for tumours in children, prostate cancers, skull base tumors, certain lung cancers, head neck and brain tumours. Due to limited radiation delivered it is now considered standard of care for any child who requires radiation therapy. It is also particularly preferred when conventional radiation or surgery are not possible due to either difficult location or due to a recurrent tumour. Proton therapy is non-invasive and painless treatment, which is typically carried out on an outpatient basis where a treatment course may span three to six weeks depending on the type and size of the tumour. More importantly, it gives them an excellent chance to not only get cured but have a high quality of cure and function in the society as any normal individual.


There are many potential advantages of Proton therapy compared to conventional radiation techniques in several cancers. Apart from the benefits in pediatric and young adults, patients requiring radiation to deeply located complex shaped tumors and patients requiring re-irradiation also benefit with proton therapy. Emergence of pencil beam technology has also enabled expansion of clinical indications to include moving tumors such as lung cancer, thymoma, esophageal cancer, pancreatic and hepatocellular carcinoma and complex head neck cancers.


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Symposium 6.2: Precision Radiotherapy – Stereotactic Radiosurgery & Stereotactic Body Radiotherapy

Dr Azura Deniel

Consultant Oncologist, KPJ Ampang Puteri Specialist Hospital

Dr Azura is a consultant clinical oncologist in KPJ Ampang Puteri Specialist Hospital.
She obtained her medical degree from the University of Wales College of Medicine, Cardiff, United Kingdom in 1997. She completed her postgraduate Master of Clinical Oncology from University Malaya in 2006.
She is trained in prescribing radiotherapy, chemotherapy, targeted therapy, immunotherapy and hormonal therapy. Her interest in the treatment of breast, lung, colorectal, gynaecological and head & neck cancers.


Abstract

Radiotherapy is the use of ionizing radiation to treat cancers. The use of radiotherapy has evolved to be more conformal allowing delivery of high dose radiation, sparing the surrounding critical structures. This results in better tumour control whilst reducing side effects and improving quality of life.

Stereotactic radiosurgery (SRS) refers to a single fraction radiotherapy delivered to intracranial targets. Stereotactic body radiotherapy (SBRT) refers to single or multifraction (typically 2-5 fractions) radiotherapy treatment to extracranial sites. Biological advantage has been postulated with the delivery of these high doses.

Both types of treatment are highly conformal and deliver ablative doses to the specified target. High precision enables accurate dose delivery. High resolution imaging allows accurate tumour and normal structure delineation. Accurate immobilization and image guided treatment delivery is essential.

The basic concept of SRS and SBRT treatment will be presented as well as the clinical indications of the treatment.
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Symposium 6.3: Intra-operative Radiotherapy in Breast Cancer Surgery

Professor Dato’ Dr Yip Cheng Har,

Consultant Breast Surgeon, Ramsay Sime Darby Health Care

Dr Yip is currently a consultant breast surgeon in the Subang Jaya Medical Centre in Malaysia, and holds appointments as Clinical Professor in the Faculty of Medicine, University Tunku Abdul Rahman, Kuala Lumpur and Visiting Consultant the Dept of Surgery, University of Malaya. She is also the lead clinician for the breast cancer research program in the Cancer Research Malaysia, which is a charity based cancer research organization.

Dr Yip graduated from the University of Malaya with an MBBS degree in 1981 and started surgical training after her housemanship. After obtaining the FRCS (Glasgow) in 1985, she went on to pursue a career in academic surgery in the Dept of Surgery, Faculty of Medicine, University of Malaya, where she retired in Sept 2012 as a professor. She trained in breast surgery in the United Kingdom in 1989 and in 1993; she started one of the first breast clinics in Malaysia in the University of Malaya Medical Centre (UMMC). In 1993, she started the institutional breast cancer database in UMMC, which currently has over 7000 patients and is valuable research source.

Although retired from the University of Malaya, she continues her role as visiting consultant to the Department of Surgery, and has established a tissue repository and breast cancer database with Cancer Research Malaysia at the Subang Jaya Medical Centre.

Dr Yip was the Chairman of the Development Committee of National Clinical Practice Guidelines for the Management of Breast Cancer in Malaysia. She is currently the President of the College of Surgeons of Malaysia, the first woman to hold such a position. Although a clinician, Dr Yip is very involves in cancer control and prevention, and is the immediate past President of the Asia Pacific Organization for Cancer Prevention. She has been appointed an expert in cancer control by the World Health Organization and the International Atomic Energy Agency (IAEA).

In Malaysia, she is well known for her work with breast cancer and was awarded the Malaysia “Greatest Women of our Times” award which carries the title of Dato’ from the Sultan of Perak, which is her home state in Malaysia. In Oct 2013, she was awarded the FACS (Hon) from the American College of Surgeons.
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Symposium 7.1: Not So “Cool” World….Clinical and Legal Conundrums of Neonatal Cooling and Birth Asphyxia

Dr Mohammad Iqbal Mohammad Sarwar, Consultant Paediatrician

KPJ Damansara Specialist Hospital

Dr Mohammad Iqbal studied medicine at the University of Aberdeen, Scotland where he graduated with a double degree in Medicine/Surgery and Medical Sciences.


From Aberdeen he started his paediatric training at the Royal Hospital for Sick Children and the Simpson Memorial Maternity Pavilion in Edinburgh. He later continued his training with the North Yorkshire Paediatric Training Rotations based at the Royal Sheffield Children’s Hospital and Jessops Wing, Sheffield. He obtained his Certificate of Completion of Training (CCT) in Paediatrics from the General Medical Council, UK in 2009 and was entered into the GMC UK specialists register soon after. He was admitted as a fellow of the Royal College of Paediatrics and Child Health United Kingdom in 2011.

Currently he is registered as a specialist both with the General Medical Council, United Kingdom and the National Specialist Register in Malaysia. Dr Mohammad Iqbal specialises in the field of paediatrics and latterly subspecialised in the field of neonatology and neonatal intensive care. In the field of neonatal intensive care he has special interests in respiratory care, non-invasive ventilation, brain cooling, simulation training, neonatal HIV and risk management.

Prior to returning to Malaysia, Dr Mohammad Iqbal was appointed to the post of Consultant Neonatologist at the Regional Newborn Intensive Care Unit, St Mary’s Hospital, Manchester, United Kingdom. The NICU at St Mary’s is one of the largest and most modern neonatal intensive care unit in the UK and looked after the sickest and most premature babies in the region. He also was actively involved in the training of medical students from the University of Manchester and was a regular examiner for the university.

Currently he is working as resident consultant paediatrician and neonatologist at the KPJ Damansara Specialist Hospital, in Petaling Jaya, Selangor, Malaysia.


Abstract

Hypoxic Ischemic Encephalopathy or HIE following perinatal asphyxia contributes significantly to neonatal mortality and morbidity including long-term neurodevelopmental sequelae in up to 25%-60% of survivors.


Evidence from high quality RCTs indicates that therapeutic hypothermia or cooling of neonates with moderate to severe HIE is safe and reduces the risk of death or disability at 18 to 22 months of age.


Currently, cooling is the first and thus far the only intervention which has been proven in rigorously conducted scientific studies to be beneficial in term and near term neonates with HIE.


Thus, it has now become the standard of care in the treatment of babies born with HIE both in the eyes of the medical and legal fraternity.


In the Malaysian context, the lack of understanding and facilities to deliver this essential care has given rise to numerous conundrums that this talk aim to discuss and address.

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Symposium 7.2: Advances in Cardiovascular Implantable Devices

Dr David L. Hayes

Abstract

Since the permanent pacemaker was introduced in 1958 the field of cardiac implantable electronic devices (CIED) has progressively advanced with a vast array of diagnostic and therapeutic options.


The field of Cardiac Pacing has expanded recently with the addition of the leadless pacemaker and a resurgence of interest in His Bundle Pacing. Both appear to be rapidly gaining recognition of routinely considered therapeutic options.

Defibrillation was expanded with the addition of the Subcutaneous Defibrillator and although this has now been an option for several years is still considered by many as an emerging modality for ICD therapy.

Cardiac re-synchronization therapy (CRT) has been available for almost 20 years but new approaches with left ventricular endocardial lead placement and a ‘wireless’ CRT system are being investigated.

A newer concern for all CIED is ‘cybersecurity’ and the potential for ‘hacking’ of a CIED. Each of these will be discussed.
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Symposium 8.1: Unlocking Intelligent Enterprise Data Management Solutions

Kumar G R

General Manager, GE Healthcare, Singapore

Kumar G R is General Manager, ASEAN region who leads the Enterprise Digital Solutions business unit at GE Healthcare. Since joining GE Healthcare in 2001, Kumar has been an early advocate in digital healthcare adoption in the less developed markets. On the years, he took on several increasing responsibilities that includes Integration, Custom Solutions, RIS/PACS/VNA Deployment and IT Professional leadership positions.

Kumar holds a bachelor’s degree in Science from University of Madras, with a Post Graduate Diploma in IT Systems & Applications.

Abstract

Today’s Health System Challenges:

How are your imaging departments sharing images across the care continuum? How are these consolidated for access by end users?

Would you be interested to know how you could reduce your IT infrastructure and resource costs?

The Answer is “Intelligent Enterprise Data Management Solutions”
- Help increase productivity and enhance patient care with image access within clinical workflow.
- Help reduce TCO, consolidate departmental archives, and increase adoption of VNA across through interoperability with ancillary and departmental systems.
- Reduce foreign studies, CD handling costs and repeat imaging.
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Symposium 8.2: Digital Pharmacy

Mohd Fazli Shuib

Head of Pharmacy Department, Franco-Vietnamese (FV) Hospital, Vietnam

Mr Fazli graduated from Liverpool John Moores University, UK with a Bachelor Honours Degree in Pharmacy with ‘The Best 1st Year Pharmacy Student Award’ and “The Best Final Year Project Award’. He also holds a Master’s degree in Business Administration (MBA) and is a professionally registered pharmacist with the Pharmacy Board of Malaysia (Reg. No. 2474). With over 20 years’ experience in healthcare management, he has worked in a number of well-established, internationally accredited healthcare settings. He is known as an influential healthcare leader in driving changes and performance improvement projects.

Besides his strong business acumen, his extensive experience and achievements in healthcare management include pharmacy/hospital commissioning, implementation of fully integrated electronic medical record (EMR), Automated Drug Management System (ADMS), establishment of Antimicrobial Stewardship (AMS) Program, quality and patient safety accreditation such as ISO 9001 for Quality Management Systems; Malaysian Society for Quality in Health (MSQH); Joint Commission International (JCI); Closed-Loop Medication Administration/Management (CLMA) system, Healthcare Information and Management Systems Society (HIMSS) as well as business process reengineering and service transformation programs. Amongst his key achievements was the successful implementation of Malaysia first automated drug management system - Unit Dose Drug Distribution System (UDDDS) including Barcode Medication Administration (BCMA) system that led the hospital to achieve the country’s first HIMSS Stage 6 certification in accordance with the HIMSS Asia Pacific EMR Adoption Model (EMRAM).

Abstract

In the era of digital health, many advances are being made across multiple areas of the healthcare settings. These new advances in technology are radically transforming the way healthcare is delivered and managed,patient care processes and patient data measurement. Pharmacy and medication management is no exception.

These days, digital disruption is almost on everyone’s minds though not everyone knows how to successfully approach it and effectively roll it out. One thing that is clear is that healthcare technology is not a panacea for every problem but rather digital tools that can be used to improve pharmacy business, practice, patient care and patient experience. It is definitely not to replace healthcare professional but to make them perform better in terms of effectiveness, efficiency and productivity.

The question is where and how can pharmacy fit in the digital health? It is not about what but how to effectively apply proven technology at each and every phase in medication management system, from medication prescribing, review, dispensing, and administration up to medication adherence and to interconnect all stakeholders in medication use with shared responsibilities. The key strategy in doing this is to preserve the fundamentals and principles of best practices while replacing what isn’t and routines with the best of digital to meet patient safety and patient experience needs as well as efficient workflows. It is to combine technology with humans to unleash their full potential. That is the real challenge.
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Symposium 8.3: Performance Measurement and Big Data

Dr Nor Aini Abdullah

Ministry of Health

Public Health Specialist with PhD in Epidemiology. Her current interest is in data science. Some of her experience in this area were creating an algorithm for managing large anonymous patients dataset from Northern England Hospital Episodes Statistics as part of PhD thesis, analytic team member for Malaysian Health System Research (MHSR) project in MOH led by Harvard School of Public Health, and involved in providing analytical technical input in the development of Malaysian Healthdata Warehouse (MyHDW), MOH. Her last task with MOH was setting up Malaysian Healthcare Performance Program which utilising many sources of data which include from MyHDW and Casemix.

Abstract

Worldwide, healthcare sector is a booming industry. Advancement in technology aligned towards Industrial Revolution 4.0 (IR 4.0), thus newer technology are being adopted in the industry. One of the major changes which may take place is the use of big data and its analytics technology - Artificial Intelligence (AI). This is the way forward which the organisation should envision to keep up with the competitive global market.

Data analytics is vital in giving insight of what had happened in the past, the reasons of success or failures, predict the outcome of patients care and prescriptive of interventions. Thus it will lead to a better decision making and innovations in health care.
Performance measurements which is an important tool in keeping the quality of clinical care and clinical governance will benefit from big data analytics technology, whereby it enhance the generation of valuable right- time or possibly real-time information.
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Symposium 9.1: Planning and Protecting the Family's Assets

David Ng

David Ng & Associates

David Ng career in the financial services industry has spanned 30 years. He has a graduate degree from National University of Singapore and is married with 3 children.

He specialized in Wealth Creation to monetize his client’s assets and Wealth distribution services to minimize disputes for their loved ones.

His business David Ng & Associates has a proven capability in coordinating successfully all the different parties required to meet the complex needs of the clients.

His partners include custodian banks, insurance companies, trust companies and investment advisory.

Abstract

Your legacy is a gift of money or other personal property that you can pass on to your family and loved ones. When it some to legacy planning, there is much more to it than just the management of your assets. It involves the spiritual and historical aspects of your life, includes the relationships you have built with your nearest and dearest, and incorporates the stories and values you've lived by as much as the assets you've acquired to pass on to your heirs.

Legacy planning allows you control over how you want to be remembered when you are no longer around, and how you can share in and affect the lives of the ones you love, even long after you have moved on.

This talk will familiarise you with the ins and out of planning for yours and your families future, while also helping you to live your life the way you want it right now. After all, everyone deserves to have their cake and eat it too.
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Symposium 9.2: “Should Judges Be Assisted By A Medical Panel When Deciding On Damages To Be Awarded- The Singapore Context”

Christopher Chong

Senior Partner, Dentons Rodyk

Christopher Chong is a senior partner in the Dentons Rodyk Litigation and Dispute Resolution and Arbitration practices.

Christopher's main areas of practice are in professional malpractice, commercial litigation and insurance. He has defended hospitals and medical practitioners in medical negligence suits in both the Singapore High Court and the State Courts and has represented professionals in disciplinary proceedings. He has acted for various commercial entities in joint venture disputes and contractual disputes. He has provided advice on the drafting of employment agreements, as well as advised and represented parties in disputes relating to allegations of wrongful termination of employment, the enforce-ability of restrictive covenants in employment agreements and claims arising from industrial accidents.

The Firm represents most of the major insurance companies in Singapore and Christopher supervises the personal injury insurance work within the Firm. He is experienced in all forms of dispute resolution, whether through litigation in the Singapore courts, mediation or arbitration under the Rules of the Singapore International Arbitration Center or the International Chamber of Commerce.

Christopher has been appointed a member of one of the ethics committees that review and approve proposed clinical trials conducted in Singapore and is a Fellow of the Singapore Institute of Arbitrators.

Abstract

Litigation proceedings in common law jurisdictions are largely adversarial in nature.

Medical practitioners are often engaged as expert witnesses by either party to the legal proceedings, in claims involving personal injuries.

The medical practitioner may or may not have been involved in the treatment of the claimant’s injuries and his/her role usually involves giving expert evidence on the diagnosis, prognosis and future losses of the claimant.

The involvement of medical practitioners were previously restricted to particular specialties, such as emergency department physicians, orthopedic specialists or psychiatrists as most claims involve industrial or traffic accident victims.

However, with the increase in medical malpractice claims, medical practitioners in other fields are now commonly required or requested to give evidence in legal proceedings.

We will look at the role of expert medical witnesses and whether there are alternatives to the adversarial system, particularly in determining how damages are to be awarded.
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Raja Eileen Soraya bt Raja Aman

Senior Partner Messrs. Raja, Darryl & Loh

Raja Eileen Soraya bt Raja Aman is a senior partner with the firm, Messrs. Raja, Darryl &Loh and practises in the areas of civil and commercial litigation. Her practice currently focuses on medico-legal &dento-legal matters as well as reputational management and media law. She has appeared as Counsel in all levels of the Malaysian courts and regularly appears in disciplinary tribunals involving doctors and dentists. She was recently involved in a landmark appeal involving the law of non-delegable duty and vicarious liability of private hospitals in the Federal Court. Eileen has been recognized by the Asia Pacific Legal 500 2014-2019 as a Leading Lawyer in Dispute Resolution. She is also ranked as a Leading Lawyer in Dispute Resolution in Asialaw Profiles 2016-2019. Benchmark Litigation 2018 and 2019 cites her as a “Dispute Resolution Star”.

Eileen is the President of the Medico-Legal Society of Malaysia. She graduated from the London School of Economics & Political Science and was called to the English Bar before being enrolled as an Advocate and Solicitor of the High Court of Malaya.