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    13 Oct 2021 (Wed) – Morning Programme | Day 2 – Track 2

    Track 2: Care Models from Around the World


    A New Care Model for Singapore? Learnings from US Home Hospital Experiences | 9:45 – 10:15am
    Dr. David Levine, M.D., M.P.H., M.A., Medical Director of Strategy and Innovation, Brigham and Women’s Hospital Home Hospital

    Key Learning Highlights: Dr. Levine from Brigham and Women’s Hospital shared interesting insights on hospital at home deployments in the US where a typical home hospital service involved daily nurse, medic or doctor visits, IV medications, respiratory treatments, remote vital sign monitor, diagnostic testing and 24/7 phone or video call access to care team. Currently over 75 DRGs are approved to be cared from home.

    Randomised controlled trials conducted since 2016 has shown that patients recover better at home due to familiarity in environment, greater family support, and more opportunity for physical movement as compared to laying on a hospital bed. Compared to acute care in hospital, patients reported 38% lower cost of care due to fewer complications and reduced lengths of stay.

    The key technology enabler is the availability of affordable portable diagnostics, prognostics and therapeutics gadgets that can send data to the care team over the internet. Hospitals also do not require an expensive complex control tower to monitor their patients’ conditions as the care teams can easily view the patients’ health status from their mobile devices.




    The Oncologist as a GP: Integrating Primary Care into Specialty Practice in Singapore | 10:30 – 11:00am
    Dr. Steven Tucker, M.D., FACP, FAMS, Senior Consultant, Specialist in Medical Oncology and Founder, Tucker Medical

    Key Learning Highlights: Dr. Steven Tucker of Tucker Medical is an oncologist that expanded his practice to include primary care as he believes chronic diseases are essentially lifestyle problems.

    He shared the shift in treatment paradigm from traditional (diagnosis, treatment and cure) to new care models that involve primary prevention, diagnosis, treatment, cure and secondary prevention. Technologies such as Internet of Things, wearables, fitness and sleep trackers allow care teams to monitor and understand their patients better to provide tailored lifestyle advisory and chronic disease management services.

    His wish list to augment IT capabilities in GP includes a primary care dashboard for holistic view of patient or even population longitudinal health conditions, collaboration tool between patients and physicians with integration to EHR, audio notes and a knowledge depository where GPs can learn best practices from each other.




    Holistic Community Care in Japan | 11:15 – 11:45am
    Ms. Li Lian Ng, Co-founder and Managing Director Tetsuyu Healthcare Holdings
    Dr. Shinsuke Muto, Co-founder and Director Tetsuyu Healthcare Holdings, Singapore President, Tetsuyu Institute Medical Corporation, Japan Chairman, Integrity Healthcare, Japan

    Key Learning Highlights: Dr. Shinsuke Muto and Ms. Li Lian Ng of Tetsuyu Healthcare shared about the digital health trends in Japan.

    The key learnings from the session include:
    1. The population enjoyed low cost and high quality care under universal health insurance system that resulted in low urgency to adopt technologies for home care and disease management.
    2. Low EMR adoption (around 34%) and fragmentation (data and systems) led to polarisation that prevent healthcare providers to coordinate care effectively.
    3. Tetsuyu’s Care4Wounds solution allows clinician remote management of bed sores and wound treatments via teleconsultation with nurses. The adoption rate has increased since the full liberalisation of telemedicine in 2020 that allows insurance reimbursement.


    Realising the Promise of Digital Health – Lessons from Europe | 12:00 – 12:30pm
    Mr. Thomas Hummel, Asia Pacific Regional Executive, Epic

    Key Learning Highlights: Some challenges for digital health adoption are common across the globe, such as provider and patient resistance to change, issues surrounding who pays for the digital health solution (patient, provider, payer, employer, solution provider etc), data privacy and ethical use of data, as well as complex regulatory environment for software as medical device.

    Mr. Thomas Hummel of Siemens Healthineers shared unique challenges in Europe such as:
    1. The introduction of the European General Data Protection Regulation (GDPR) gave people rights to control the assess to their personal data, but at the same time, it posed inconveniences to researchers who are conducting analytics projects and developing AI models.
    2. The passing of the Digital Healthcare Act in Germany allows the reimbursement of telehealth and digital therapy in 2020 due to COVID-19. However, the act may be reversed after the pandemic as the law was passed in haste.
    3. Different regulatory philosophies across different region has made scaling of digital health solutions globally challenging. EU is now attempting to determine the regulations surrounding AI for the region.



    Closing Session: Telehealth – Caring for Singapore Through Digital Innovation | 12:45 – 13:15pm
    Mr. Lim Wai Mun, Founder & CEO, Doctor Anywhere

    Key Learning Highlights: Mr. Lim Wai Mun from Doctor Anywhere shared his experience in launching telehealth services in Singapore in 2017 which was initially met with challenges such as ingrained consumer preference for in-person visit, especially when GP clinics are just a few steps away, and the lack of coordination between private telehealth providers with regional healthcare systems.

    COVID-19 has given telehealth the boost it needed, especially with the home recovery plan where Singapore’s Ministry of Health refers COVID-19 positive patients to private telehealth providers and enable them to try the platform. This increases consumer confidence to consult doctors remotely.

    Doctor Anywhere is now available across several southeast asian countries with new service offerings, such as home based health screening, healthy lifestyle advisory services and market place for supplements and medical devices.



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