annual report 2015/2016 - thye hua kwan hospital - thkh.pdf · annual report 2015/2016 in service...

Annual Report2015/2016

In service of

the Community

An

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An

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Our Vision, Mission& Values

VisionTo Serve Mankind.

MissionTo serve and to reach out to our

patients, their families and the

community, regardless of race,

colour, creed, language, culture

and religion.

To rehabilitate and heal with

commitment and professionalism

in an environment of continuous

learning and growth.

ValuesProfessionalism:

Together we are committed to

providing excellent healthcare and

be the best in what we do and to

achieve the best possible outcome

for our patients.

Integrity:

We are committed to the highest

standards of ethical conduct in

whatever we do.

Teamwork:

We will commit to promote

collaborations, esprit de corps and

build trust between individuals

and our partners.

Can-do!:

We shall do our best and make

the impossible possible under all

circumstances!

Heart (Communication/Compassion):

It is paramount that we serve the

needs of our patients and those

who need our help with open and

personal communication and with

the strongest compassion to truly

care for the welfare and well-being

of our fellow human beings.

Contents

Move Beyond Hospital to Community

Sustainable Healthcare

Promoting Health

Our People

Financial Statements

30

38

42

46

52

About Us

Message by

Mr Chew Heng Ching

Message by Mr Lee Kim Siang

Patron, Advisor &Board of Trustees

Board of Directors and Sub Committees

Senior Management

Building Capacity and Capabilities

01

04

06

08

10

20

26

02

As the newly appointed

Chairman of the Hospital, I

strongly advocate the delivery

of quality and sustainable care for

every patient that we serve. With a

rapidly ageing society, there is a need

to look beyond the immediate care of

our patients in the Hospital and ensure

that they are well supported at home

as well. We also need to support and

empower their caregivers who play

a pivotal role in the whole patients

support network system to provide

optimal care for their loved ones.

Capabilities and Capacity

In response to the changing

demographic and health care needs of

our Singapore population, the Hospital

has enhanced its capabilities over the

years in the following areas: dementia

care, stroke rehabilitation and palliative

care as well as home care. The newly

operational Community Health

Centre will also support the primary

healthcare network by providing

Diabetic Retinal Photography and Foot

Screening. The Hospital’s Caregiver

Message From

Mr Chew Heng Ching

04

Training Programme has also been

expanded to provide foreign domestic

workers and elderly caregivers with

customised resources and training

programmes.

Hospital Expansion

The Hospital will see the completion

of an Administrative Block, an Annex

Block and the addition of 10 isolation

beds by the end of 2017. This expansion

will also increase the size of our current

rehabilitation gymnasium as well as

expand our training capabilities with

the addition of a larger lecture theatre

and more training rooms.

Caring with Passion

The Hospital has been recognised for

its commitment to excellent patient

care at the Singapore Health Quality

Service Award (SHQSA), which saw

293 staff honoured for their dedication

to quality care and excellent service.

A total of 17 of these staff were also

presented with the STAR award for

going the extra mile to care for our

patients.

Mr Chew Heng ChingChairman

Ang Mo Kio - Thye Hua Kwan Hospital

Chairman, Ang Mo Kio – Thye Hua Kwan Hospital Board of Directors

Board Renewal

I would like to take this opportunity to

thank the following board members

who have retired after serving for

more than 10 years: Dr Chan Kin Ming,

Mr Gopinath Pillai, Dr Ho Kah Leong,

Dr Zee Kok Onn, Mr Gerry Francis De

Silva, Dr Mary Ann Tsao, Prof Low

Cheng Hock and Dr Yu Su Ling. I would

also like to welcome the following

board members who have joined the

Board: Ms Cheah Sheau Lan, Mr Goh

Geok Cheong, Prof Philip Choo, Dr Tan

Tiong Har and Mr Chew Hai Chwee.

Conclusion

I would like to thank my fellow

board members, all staff and our

key partners for their hard work and

dedication in serving the Hospital

and the patients over the years. I am

also grateful to the Ministry of Health

for their understanding and support

given to the Hospital. Together, we

shall continue to learn and grow, as we

serve the community.

05

Ms Mardiana Binte Sabtu, our Senior

Medical Social Worker, was presented

with the 2016 Healthcare Humanity

Award along with Mr Stephen Tan, our

Senior Nurse Manager, who received

the 2016 Nurses’ Merit Award from our

Health Minister, Mr Gan Kim Yong.

These national awards are a testament

of our dedication towards excellent

patient care.

We would also like to thank our

dedicated volunteers, who contributed

their precious time in various ways, be

it befriending our patients, organising

group-based activities such as Bingo,

organising Karaoke sessions or

conducting art and craft workshops.

The Hospital has also introduced

animal assisted-therapy by partnering

Cat-Assisted Therapy Singapore and

Save Our Street Dogs, to enhance

patients’ social and emotional well-

being.

The mission of Thye Hua Kwan

Moral Society is “To Serve

Mankind”. The Ang Mo Kio-

Thye Hua Kwan Hospital is part

of this service to all our people in

Singapore. In the process of helping

anyone who needs the Hospital’s help,

we also ensure that we fully respect

each person’s race, colour, creed and

religion.

I would like to thank all the Board

Members of the Hospital, in particular,

the Board Members who have served

about 12 years as Directors of the

Hospital. They are: Dr Chan Kin Ming,

Mr Gopinath Pillai, Dr Ho Kah Leong,

Dr Zee Kok Onn, Mr Gerry Francis De

Silva, Dr Mary Ann Tsao, Prof Low

Cheng Hock and Dr Yu Su Ling.

I would like to thank the current Board

of Directors: Mr Chew Heng Ching, Mr

Robert P C Tock, Er Chang Meng Teng,

Mr Zulkifli Baharudin, Dr L Jayaram,

Prof Phillip Choo, Ms Cheah Sheau

Lan, Mr Goh Geok Cheong, Er Ong Ser

Huan, Mr Chew Hai Chwee and Dr Tan

Tiong Har.

Message From

Mr Lee Kim SiangChairman, Thye Hua Kwan Moral Society

06

The Board of Directors give direction

to the Hospital and ensure its

governance and well-being. We are

also thankful to all our staff at all levels

for serving the patients of the Hospital

and their families.

We will continue to keep in mind our

philosophy “To Serve You Better,

Always!” by delivering quality and

sustainable care to our patients.

We are grateful to the Ministry of

Health for their support and direction.

We would also like to record our

heartfelt appreciation to the Agency

for Integrated Care (AIC), Singapore

Tote Board and all our donors for their

support.

Our donors’ support and generosity

enable us to assist over 1,300 patients

for the purchase of assistive devices

and for the home modifications for

our patients over the past years.

Mr Lee Kim SiangChairman

Thye Hua Kwan Moral Society

Patron, Advisor &Board of Trustees

Patron Advisor

The Late Mr S .R. Nathan DUT (First Class), PJG, BBM, PPA(P)

Dr Koh Poh Koon Minister of State, Ministry of

National Development &Ministry of Trade and Industry

MP for Ang Mo Kio GRC

Board of Trustees

Chairman

Prof Lim Pin DUBC

Member

Tuan Haji OthmanBin Wok

Member

Mr Herman Hochstadt PPA(E), PPA(G), BBM

08

Professor Lim Pin, Chairman, Board of Trustees presenting an appreciation plaque to President’s Award for Nurses 2015 recipient, Nurse Educator Jocelyn Ng.

Board of Directors (as of 31 March 2016)

Chairman Dr Chan Kin Ming (retired as of 31 March 2016)

(Immediate Past)

Chairman Mr Chew Heng Ching (appointed on 1 April 2016)

Vice Chairman Mr Gopinath Pillai BBM (L), BBM (retired as of 31 March 2016)

Vice Chairman Dr Ho Kah Leong (retired as of 31 March 2016)

Vice Chairman Er Chang Meng Teng JP, BBM, BBM(L), PPA(P), PBM (appointed on 1 April 2016)

Vice Chairman/ Mr Robert P. C. Tock (appointed on 1 April 2016)

Hon. Secretary

Hon. Treasurer Mr Zulkifli Baharudin BBM, PBM

Member Mr Lee Kim Siang BBM(L), BBM, PBM

Member Dr L. Jayaram

Member Er Ong Ser Huan

Member Prof Low Cheng Hock JP, PPA (E,) PPA (P), PBM, BBM (retired as of 31 March 2016)

Member Dr Zee Kok Onn (retired as of 31 March 2016)

Member Mr Gerard Francis De Silva (retired as of 13 August 2015)

Member Dr Yu Su Ling (retired as of 12 August 2015)

Member Dr Mary Ann Tsao PBM BBM (retired as of 6 August 2015)

Member Ms Cheah Sheau Lan (appointed on 18 August 2015)

Member Prof Philip Choo BBM, PPA(P), PBS (appointed on 18 August 2015)

Member Mr Goh Geok Cheong PBM (appointed on 18 August 2015)

10

Mr Lee Kim Siang, Chairman, Thye Hua Kwan Moral Society, presenting the 20-year Long Service Award to Mdm Saleha Binte Mohamed Rashid, Health Attendant from the Nursing Department.

Ms Cheah Sheau LanMember

Ms Cheah Sheau Lan is a Chartered Accountant registered with the Institute of Singapore

Chartered Accountants. She is a retired corporate executive and currently sits on the board

and/or committee of voluntary welfare organisations including Thye Hua Kwan Moral

Charities, Singhealth Foundation and the Tsao Foundation.

She was previously the General Manager of Corporate Development at Pan-United

Corporation Ltd, a SGX Listed company. Prior to that, she was an Assistant Director in a

Singapore based private equity firm specialising in mezzanine financing for growing

companies in the Asian region.

13

Board of Directors (wef 1 April 2016)

12

Mr Chew Heng ChingChairman

Mr Chew Heng Ching is a prominent member of the Corporate & Business Community

in Singapore developing and promoting best corporate governance practices. He is the

Founding President of the Singapore Institute of Directors (SID) and Chairman of its

Governing Council from 1998 – 2009. He was a former Chairman and Board member of

the Singapore International Chamber of Commerce from 1996 to 2014. Today, he sits on the

board of various publicly listed companies.

In public life, Mr Chew was a former Deputy Speaker of Parliament and Member of Parliament

from 1984 – 2006. He chaired various parliamentary committees and was Coordinating

Chairman for all PAP Town Councils in Singapore. He also serves as a volunteer on the board

of various charities. He is currently Vice Chairman of Thye Hua Kwan Moral Charities Ltd.

Mr Lee Kim Siang BBM(L), BBM, PBMMember

Mr Lee is the Chairman for Thye Hua Kwan Moral Society and Thye Hua Kwan Moral Charities

Limited, a voluntary welfare organisation that runs more than 70 centres and services

islandwide.

Mr Lee is currently a member of the Care and Share Steering Committee, a national fund-

raising and volunteerism movement led by the Community Chest since 2013 under the

Ministry of Social and Family Development. He is also a member of the Responsible Gambling

Forum, formed by the Ministry of Social and Family Development since 2013, with the aim of

promoting responsible gambling practices across all forms of gambling in Singapore.

Er Chang Meng Teng JP, BBM, BBM(L), PPA(P), PBMVice Chairman

Er Chang is a registered licensed Professional Engineer of PE Board. He left the former

Public Utilities Board in 1979 to form and head Squire Mech Pte Ltd, a Mechanical &

Electrical engineering practice. He is very active in both the engineering fraternity and civic

organisations. He was the President of Institution of Engineers, Singapore and the Society of

Project Managers.

He had served on many committees and statutory boards of Government Ministries. Er Chang

is currently a Board Member of the Energy Market Authority and a Fellow of the Singapore

Academy of Engineering.

Mr Robert P.C. TockVice Chairman/Hon. Secretary

Mr Robert Tock is a practising advocate and solicitor who is presently the sole proprietor of

the law firm, Rodrigo, Tock and Wilson.

Mr Tock, also sits on the board of Thye Hua Kwan (THK) Moral Charities as Hon. Secretary

and THK Nursing Home as Vice Chairman. He is also the Chairman of the Management

Committee of various homes, namely Moral Home for the Intellectually Disabled, Moral

Home for Disabled Adults, Moral Welfare Home, Angsana Home and Banyan Home.

Mr Zulkifli Baharudin BBM, PBMHon. Treasurer

Mr Zulkifli Baharudin is the Executive Chairman of Indo-Trans Corporation, a logistics and

supply chain company across Indo-China. Mr Zulkifli Baharudin is also Singapore’s Non-

Resident Ambassador to the Republic of Uzbekistan and the Republic of Kazakhstan.

Mr Zulkifli is an Independent Director of Singapore Post Limited, Ascott Residence Trust

Limited and Trustee of the Singapore Management University.

15

Board of Directors (wef 1 April 2016)

14

Dr L. JayaramMember

Dr Jayaram Lingamanaicker is one of the leading cardiologists recognised for his expertise

in performing Balloon Angioplasty and stenting. He has more than 20 years of experience in

Clinical Medicine and Cardiology.

He also served as a Consultant Interventional Cardiologist based at Changi General Hospital,

where he later became Senior Consultant and Head of the Division of Cardiology. Dr Jayaram

practices at Mount Elizabeth Hospital currently and is also a senior lecturer at National

University of Singapore.

Prof Philip Choo BBM, PPA(P), PBSMember

Professor Philip Choo is the Group Chief Executive Officer for National Healthcare Group.

Professor Choo is well-recognised as a Geriatrician with more than 20 years of experience.

He was awarded TTSH Doctor of the Year in 1996.

Professor Choo currently serves on several Boards which includes Johns Hopkins Singapore

International Medical Centre, Ren Ci Hospital, Integrated Health Information Systems Pte Ltd

and The Courage Fund Limited. He also sits on various Ministry of Health Committees and is

a member of the Lee Kong Chian School of Medicine Governing Board.

Mr Chew Hai ChweeMember

Mr Chew Hai Chwee spent more than 27 years working for Asian and US MNCs listed on

the Singapore Exchange (SGX), NYSE, and NASDAQ in USA where he was responsible for

various business functions and responsibilities.

He is on the council of Singapore Red Cross and is Chairman of the Committee for Humanitarian

Assistance and International Relief of Red Cross Singapore. Mr Chew also served as CEO of

Bright Vision Community Hospital and was on the Board of Advisors for Kemin Asia Pacific

for 14 years. Mr Chew owns a consultancy and investment firm currently.

Dr Tan Tiong HarMember

Dr Tan Tiong Har who was awarded the Colombo Plan Scholarship for Medicine is a

pulmonologist who recently retired from private practice at Gleneagles Medical Centre. He

has more than 40 years of experience in respiratory medicine. He was previously Consultant

Physician, (Deputy Head) Department Of Medicine IV and subsequently the Head of

Department of Tuberculosis Control at Tan Tock Seng Hospital.

He then ventured into Private Practice while serving as a Visiting Consultant at Changi

General Hospital and TTSH.

He is also the Medical Director at Melta Home Services.

Er Ong Ser HuanMember

Er Ong Ser Huan has over 45 years of experience as a Professional Engineer and also serves

in the disciplinary committees of Singapore Law Society and Singapore Medical Council. He

was President of the Institution of Engineers Singapore (1998-2000), and was elected as

Chairman of Asean Federation of Engineering Organisations.

Er Ong also serves as the Chairman of the Serangoon Moral Family Service Centre, Vice

Chairman of the Thye Hua Kwan Moral Society and Banyan Home.

Mr Goh Geok Cheong PBMMember

Mr Goh Geok Cheong is the Managing Director of ABV Engineering Pte Ltd. He has more than

35 years of experience in civil engineering and was involved in several patent inventions and

innovation development.

Mr Goh is also the Chairman for Kaki Bukit Community Centre and the ambassador for the

Singapore Corporation of Rehabilitative Enterprise. Mr Goh is also member of the Institution

of Engineers Singapore.

17

Standing Board Committees

16

Executive Committee

Audit Committee

Building Committee

Establishment and Remuneration Committee

Chairman Mr Chew Heng Ching

Member Mr Robert P.C. Tock

Member Er Chang Meng Teng

Member Mr Zulkifli Baharudin

Member Mr Lee Kim Siang


Member Ms Cheah Sheau Lan

Chairman Ms Cheah Sheau Lan


Member Mr Chew Hai Chwee

Chairman Er Chang Meng Teng

Member Mr Chew Heng Ching

Member Mr Robert P.C. Tock



Member Mr Goh Geok Cheong

Chairman Mr Robert P.C. Tock



Nominations Committee

Finance Committee

Investment Committee

Programmes Committee

Medical Advisory Board

Medifund Committee

TenderCommittee

Chairman Mr Lee Kim Siang

Member Mr Chew Heng Ching

Member Prof Philip Choo

Chairman Mr Zulkifli Baharudin



Member Mr Shabbir Hassanbhai

Chairman Mr Chew Heng Ching



Member Ms Cheah Sheau Lan

Chairman Dr L. Jayaram

Member Prof Philip Choo


Member Dr Tan Tiong Har

Chairman Emeritus Prof Edward Tock Peng Chong

Member Prof Low Cheng Hock JP, PPA(E), PPA(P), PBM

Member A/Prof Goh Lee Gan PPA(E), BBM

Member Dr Lee Kheng Hin

Member Prof Tay Boon Keng PBM

Member A/Prof Chin Jing Jih

Member Prof Ng Han Seong

Member A/Prof Thomas Lew Kepujian

Member A/Prof Pang Weng Sun

Chairman Mr Robert P.C. Tock


Member Mr Goh Geok Cheong

Chairman Dr S. Vasoo

Member Mr M. N. Swami

Member Mr Chan Chee Keong PBM

Member Mr Tan Chong Hai

Member Dr Abdul Razakjr Omar

Member Mr Chew Hai Chwee

1918

Corporate Governance Statement

Board of DirectorsThe Board’s role is to provide overall leadership to the strategic direction of the Hospital’s

operations.

In line with corporate governance, the Hospital has renewed the Board members in this

financial year. We have brought on board five new Board members from different professions

while we have seven Board members who has served the Hospital for more than 10 years

retiring.

All the Board members of the Hospital have accepted their roles without remunerations

and are committed to serve the Hospital to bring to our patients and the community better

healthcare services.

Under the guidance of our new Board members with Mr Chew Heng Ching as the Chairman,

the Hospital has undergone more stringent review of processes and is in compliance with

Corporate Governance. In performing its duties, the Board of Directors have maintained

effective working relationships with the Hospital’s Management.

Conflict of Interest PolicyAll Board members, employees and volunteers of the Hospital are required to read

and understand the conflict of interest policy and make full disclosure of any interests,

relationships and holdings that could potentially result in a conflict of interest. When a

conflict of interest situation arises, person involved shall be abstained from participating in

the discussion, decision making on the matter.

Whistleblowing PolicyThe Hospital is committed to uphold our staff’s integrity and ethical behaviour by fostering

and maintaining an environment whereby employees can act appropriately without fear of

retaliation.

To maintain these standards, the Hospital has in placed a whistleblowing policy that allows

employees who have concerns about suspected serious misconduct to come forward and

express these concerns without fear of punishment or unfair treatment.

Corporate Governance Compliance Checklist

S/No. Code Description Compliance Remarks

1

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

21

22

23

26

27

29

28

Are there Board members holding staff appointments?

There is a maximum term limit of four consecutive years for the Treasurer position (or equivalent, e.g. Finance Committee Chairman).

The Board conducts regular self-evaluation to assess its performance and effectiveness.

There are Board committees (or designated Board members) with documented terms of reference.

The Board meets regularly with a quorum of at least one-third or at least three members, whichever is greater (or as required by the governing instrument).

There are documented procedures for Board members and staff to declare actual or potential conflicts of interest to the Board.

Board members do not vote or participate in decision-making on matters where they have a conflict of interest.

The Board reviews and approves the vision and mission of the charity. They are documented and communicated to its members and the public.

The Board approves and reviews a strategic plan for the charity to ensure that the activities are in line with its objectives.

The Board approves documented human resource policies for staff.

There are systems for regular supervision, appraisal and professional development of staff.

There is a system to address grievances and resolve conflicts.

The Board ensures internal control systems for financial matters are in place with documented procedures.

The Board ensures reviews on the charity’s controls, processes, key programmes and events.

The Board approves an annual budget for the charity’s plans and regularly monitors its expenditure.

The charity discloses its reserves policy in the annual report.

Does the charity invest its reserves?

Donations collected are properly recorded and promptly deposited by the charity.

The charity makes available to its stakeholders an annual report that includes information on its programmes, activities, audited financial statements, Board members and executive management.

Are Board members remunerated for their Board services?

Does the charity employ paid staff?

No staff is involved in setting his or her own remuneration.

The charity accurately portrays its image to its members, donors and the public.

The charity discloses in its annual report the annual remuneration of its three highest paid staff who each receives remuneration exceeding $100,000, in bands of $100,000. If none of its top three highest paid staff receives more than $100,000 in annual remuneration each, the charity discloses this fact.

No

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

Complied

No

Complied

Complied

No

Yes

Complied

Complied

Complied

Evaluation in progress

Review in progress

Review of existing policies in progress

Reassessment of internal controls procedures in progress

21

Senior Management

20

From left:

Ms Catherine Tan, Principal Physiotherapist

Ms Low Chui Yan, Pharmacy Manager

Dr Jocelyn Koh, Associate Consultant

Mr Kevin Chiam, Assistant Director of Nursing

Ms Siti Zubaidah Binte Yusoff, Principal Occupational Therapist

Dr Derek Lim, Associate Consultant

Ms Chia Sok Hoon, Deputy Director, Finance

A/Prof Edward Poon, Chief Nurse

Dr Kelvin Phua, Acting Chief Executive Director (centre)

Mr John Ang, Director, Operations

Mr Sinha Satyabrata Shekhar, Director, Allied Health

Mr Damien Tong, Director, Human Resource

Ms Omadevi Tharuman Koh, Assistant Director of Nursing

Ms Puteri Arella Suman, Manager, Business Development

Mr Chionh Yang Kok, Assistant Director of Nursing

Ms Lau Tze Ching, Acting Head/Senior Dietitian

Ms Tan Ying Yan, Acting Head, Medical Social Work Department

23

About Us

Top 3 referrals of patients from:

Top 10 medical conditions of patients for FY 2016

TTSH SGH KTPH

FY2015 FY2015 FY2015FY2016 FY2016 FY2016

22

Ang Mo Kio – Thye Hua Kwan Hospital is a community hospital providing rehabilitative and sub-acute

care. Using a patient-centered approach, our healthcare team provides a personalised and comprehensive

plan for each patient at AMK-THKH. We strive to help our patients achieve independence and assist

them in their integration back into society.

The Hospital works closely with Restructured Hospitals (RHs) to refer patients to us. About 72% of our

patients are referred by Tan Tock Seng (TTSH), Singapore General Hospital (SGH) and Khoo Teck

Puat Hospital (KTPH).

About 80% of the patients admitted to AMK-THKH are above 65 years of age. The Hospital cares for

patients with a range of medical conditions, majority of whom require rehabilitation after fracture, stroke

and spinal conditions.

1,113 831 9291,369 949 836

Increase by 23%

Increase by 14.2% Decrease by 10%

30%

20%

10%

6%

4%4%

4%5% 4%

13%

Fracture of Leg and Spine

Stroke, Heart Attack

(Vescular Conditions)

Nerve and

Tissue Problems

Lung Disease/Pneumonia

Liver andColon Cancer

Neurological Conditions includingParkinsons and Epilepsy

Digestive System Disease

Urologic Diseases

Spinal Conditions

Infections

25

Overview

24

Average Bed Occupancy

Total Inpatient Days Discharge Destination

Admissions By Numbers

Quality Indicators

FY2015

FY2016

88.43%

90.48%

FY2015

2,561FY2016

2,815

= 10%FY2015

83, 542 DAYS

FY2016

93,114 DAYS

CAUTI *1000 Catheter Days

Med Errors

Falls

Pressure Sores*1000 Patient Days

FY2013 FY2014 FY2015 FY2016

0

10 9.8

0.4

1.5

0.23 0.05 0.01 0.01

1.41.7

1.4

0.3 0.3 0.3

5

6.35.8

5

TOTAL NO. OF DISCHARGED PATIENTS

2,924

70.0%

Nursing Homes & Community Shelters

Others (Transfer to other CHs, Death Cases)

70.0%Home

25.8%

Readmissions to RHs & Pte Hospitals

4.0%

0.2%

27

Building Capacity& Capabilities

26

The Hospital has continued to expand its

scope of services to address the needs of

the aged care sector.

Palliative Care Unit

The Hospital’s Palliative Care Unit seeks to

meet patients’ and their families’ physical,

emotional and psychosocial needs so as to

maximise their quality of life. The palliative

care unit cares for terminal patients with

cancer as well as non-cancer conditions.

The programme has helped 71 patients

since January 2015.

Activities-based Group Therapy

Programme for Dementia Patients

The Hospital obtained a two-year funding

from the Tote Board to develop and

implement an activities-based group

therapy programme for dementia patients.

This programme offers arts and craft,

music therapy and gardening therapy

for patients with dementia to engage

them in meaningful activities. More than

140 patients have benefitted from this

programme since implementation.

Renal Care

Renal care is a growing area of need for

elderly patients. The management of

these patients’ medical conditions is more

complex and challenging. The Hospital

collaborates with B. Braun and KTPH by

referring inpatients who require dialysis to

receive their treatment at B. Braun Centre

while under the rehabilitative care at AMK

- THKH. The Hospital has managed 442

such patients since 2013.

The Hospital also started the Continuous

Ambulatory Peritoneal Dialysis/

Automated Peritoneal Dialysis programme

to train our nurses in caring for patients

requiring Peritoneal Dialysis (PD). The

training programme has certified 150 nurses

as of FY 2016.

Respiratory & Ventilator Care

This specialised unit caters to patients (e.g.

those with amyotrophic lateral sclerosis,

spinal cord injuries or have prolonged

Intensive Care Unit stays) who require

respiratory support which includes the use

of mechanical ventilators or cough-assisted

machines. Fifty-seven patients have

benefitted since the implementation of this

programme in 2014.

2928

Expansion Programme

The Hospital is currently in the second phase of its

Expansion Programme which seeks to alleviate the national

bed shortage, address the increasingly complex needs of

our patients and improve the Hospital’s training facilities.

The first phase, which was completed in November 2014,

saw the Hospital’s bed capacity increase by 110 to 360 beds.

This new South Wing Ward, was designed specifically for

geriatric patients.

The next phase of the expansion consists of the building

of a new six-storey administration block and a four-

storey Annex block. These are expected to be completed

by December 2017. These new blocks will also have

10 isolation beds. Our training capabilities will also be

enhanced with the addition of staff training rooms. The

Hospital will also expand the therapy gym to create more

space for our patients as they carry out their rehabilitative

exercises.

Artist Impression of Hospital upon completion of Expansion Programme.

Artist Impression of Block B.Minister Gan, together with our Board of Directors overseeing the expansion plans.

New South Wing.

Collaborations with Regional Health Systems

• Stroke Management Care Pathway

• Hip Fracture Care Pathway

Preparing Patients for Discharge

• Caregiver Training Programme

• Foreign Domestic Worker Training Programme

• AMK – THKH Care Coordination with National Healthcare

Group Polyclinics (NHGP)

Providing Support to our Patients in

the Community

• Day Rehabilitation Centre

• Home Healthcare Services

• ACTION Team Care Coordination

• Community Health Centre

• Amputee Support Group

32

33

34

Move BeyondHospital To CommunityProviding a continuum of care beyond discharge

33

Collaborations with Regional Health Systems

Preparing Patients for Discharge

32

As part of the Central Regional Health System (RHS), AMK-THKH works

closely with various partners like TTSH, KTPH, National Healthcare Group

Polyclinics (NHGP) to deliver quality care for our patients.

Stroke Management Care Pathway

The programme, managed in partnership

with TTSH & National Neuroscience

Institute (NNI) seeks to facilitate the

seamless transfer of stroke patients to AMK-

THKH, as well as provide training for the

Hospital’s clinicians to better manage stroke

patients. The programme has facilitated the

care of 69 patients as of FY 2016.

Hip Fracture Care Pathway

AMK – THKH has also initiated the Hip

Fracture Care Pathway with TTSH and

KTPH. This care pathway, started in 2012,

facilitates the timely transfer of patients

with hip fractures from the acute hospital

to AMK - THKH. Qualifying patients

also benefit from more coordinated and

subsidised outpatient rehabilitation after

they are discharged from our Hospital.

Some 423 patients benefitted from this

programme as of FY 2016.

Caregiver Training Programme

The Caregiver Training Programme aims

to help appointed caregivers provide

patients with the appropriate care upon

their discharge home. These training

programmes are customised for each

patient based on their needs and are

available to caregivers of all our patients.

Foreign Domestic Worker

Training Programme

As an extension of its current Caregiver

Training Programme, the Hospital has been

conducting customised caregiver training

programmes for foreign domestic workers.

Learning materials which are translated

into Burmese and Bahasa Indonesia help

domestic helpers from Myanmar and

Indonesia better understand the intricacies

of caring for our elderly. The initiative

has helped 40 caregivers complete their

training as of FY 2016.

AMK – THKH Care Coordination

with National Healthcare Group

Polyclinics (NHGP)

Under this initiative, AMK – THKH’s

Healthcare team identifies suitable patients

for referral to Ang Mo Kio Polyclinic for

management of their chronic diseases after

discharge. This aims to create a smooth

transition back to the community. This

ensures that continuity of care with our

primary care partners is in place for our

patients. The programme has reached out

to 154 patients as of FY 2016.

154Patients

The programmehas reached out to

ending FY2016

35

Providing Support to ourPatients in the Community

34

Day Rehabilitation Centre

Our Day Rehabilitation centre (DRC)

provides outpatient rehabilitation to

patients who require active rehabilitation

after they are discharged from the Hospital.

A total of 2,407 patients were enrolled in

DRC in FY 2016.

To help patients integrate better into the

community, DRC conducts a Community

Rehabilitation Programme in partnership

with Yio Chu Kang Community Centre

(YCK CC) in 2013. This partnership enables

patients to utilise YCK CC’s Active Ageing

Corner” to maintain fitness and improve

their physical condition. About 225 sessions

have been conducted as of FY 2016.

With the support of AIC’S Outing for the

Elderly Fund, DRC also organises regular

social outings for the elderly with mobility

difficulties to remain connected to society

by visiting attractions such as Jurong Bird

Park, Gardens by the Bay, Singapore Zoo

and River Safari.

Home Healthcare Services

This programme, funded by Tote

Board Community Healthcare Fund,

is targeted at homebound patients

who require continued health care after

they are discharged back home. The

services offered include Home Medical,

Home Nursing and Home Therapy. The

programme has managed around 585

patients as of FY2016.

As an extension of the programme, AMK-

THKH also collaborates with TTSH Post-

Acute Care at Home (PACH) team, to

provide a seamless transition for patients,

from the hospital back to their own home.

Under this partnership, patients whose

condition have stabilised will be taken care

of by the AMK-THKH Home Healthcare

team while TTSH PACH continues to focus

on patients requiring more complex care

needs. A total of 13 patients have been

referred to this programme as at FY 2016.

To further support Hospitals (Restructured

& Community) with their discharges and

reduce the caseload of some Specialist

Clinics, our Home Healthcare programme

has trained our staff to be able to provide

the following clinical services:

i. Doctors – Change PEG, Tracheostomy,

Palliative Care

ii. Nurses – Male Catheterisation, Manage

Dementia and Palliative patients, VAC

dressing, Venepuncture, ACP

We administer schemes such as the

Seniors Mobility and Enabling Fund (SMF)

to help needy patients obtain subsides for

the purchase of medical consumables. As

of FY 2016, 107 patients have benefitted

under SMF scheme.

140Patients

have benefittedunder

SMF scheme

As of FY 2016

3736

ACTION Team Care coordination

Initiated by the Agency of Integrated Care

(AIC) in November 2012, this programme

facilitates patients who are discharged

back to their homes and community. The

team assists by identifying patients’ care

needs, raising referral and coordinating care

services prior to discharge. Upon discharge,

our care coordinators also follow up with

patients to ensure that the community

support services are in place to care for the

patient.

This initative also helps to reduce the

number of re-admissions among ACTION

patients to the Emergency Department. Our

ACTION Team have reached out to 1,691

patients as of FY 2016.

Community Health Centre

To support our GPs in managing

patients with chronic diseases, the

Hospital started the Community Health

Centre (CHC) in May 2016. The centre

offers services such as Diabetic Retinal

Photography, Diabetic Foot Screening,

Outpatient Nurse Counselling and

Outpatient Dietetics Consultation.

Patients may be referred to the CHC

through GPs’ referrals, bringing more

convenience to outpatients in the

community.

Amputee Support Group

The Amputee Support Group was initiated

in December 2010, by the Hospital’s Medical

Social Workers. The aim was to provide a

platform for the amputees to share issues

and challenges faced in their daily life and

to establish and maintain a social support

network for the amputees.

The Amputee Support Group collaborates

with TTSH Rehab as well as Handicaps’

Welfare Association. To date, 83 patients

have participated at this support group.

83Patients

have participated at the AmputeeSupport Group

To date

Embracing Technologies

• Power-up Rehabilitation

Empowering our Patients & Caregivers

• Advanced Care Planning (ACP)

• Palliative Care Training

• Homework Therapy for Patients

• Cross-Training of the Therapy Assistants

• Patient Empowerment Programme

40

41

Sustainable HealthcareIncreasing value for the patients

41

Embracing Technologies

40

Power-up Rehabilitation

Conventional gait training usually requires

at least two therapists to assist the patient

and has many limitations such as; patient

fatigue, occupational injuries for therapists

and as a result of the previous two

limitations, the possibility of poor quality of

training.

The newly introduced programme, Power-

Up integrates technology that uses air

pressure to reduce patients’ body weight,

allowing patients to exercise longer without

exerting stress on their injuries. Fifty-

one patients have been identified for this

programme between November 2015 and

March 2016.

Empowering our Patients & Caregivers

Advanced Care Planning (ACP)

The ACP programme seeks to prepare patients and their

families for the future by ensuring suitable family members

are identified to make informed decisions on behalf of the

patient during a crisis. Our Care Team members who are

trained in ACP, engage patients and their family members

about the patient's future healthcare plans and guide them

on the decision making process. A total of 61 patients’

families completed the ACP discussions with our staff since

the implementation of this programme in January 2015.

Palliative Care Training

To help our nurses better manage palliative patients and their

families, the Hospital conducts related training programmes

which include the End of Life Nursing Education Consortium

Course (ELNEC) and Share The Care (STC) Programme. The

ELNEC, which covers advanced principles of palliative care,

is offered to our senior staff, as well as nursing staff from

other hospitals. AMK-THKH has trained 165 staff for this

course by the end of 2015.

The STC Programme, which introduces the basis and

development of palliative care, covers communication skills,

loss, grief, cultural and ethical issues related to non-cancer

palliative care. This programme has seen 224 staff trained

as of FY 2016.

Homework Therapy for Patients

The ‘Homework Therapy Programme’ aims to maximise

the use of patients’ time during weekends. Introduced in

March 2016, patients are encouraged to carry out simple

exercises by following the steps provided in handouts and

via a live demonstration. The handouts are prepared in four

languages to facilitate patients’ learning.

Cross-Training of the Therapy Assistants

The Cross Training Project, initiated in November 2014,

aims to train suitable Therapy Assistants to become

Physio-Occupational Therapy Assistants (PO-TA). Under

this initiative, these PO-TAs are able to perform both

Occupational Therapy and Physiotherapy treatments on

patients. This has helped maximise manpower and increase

productivity. The Hospital has trained 29 PO-TAs as of FY

2016.

Patient Empowerment Programme

The primary aim of this programme is to equip patients

with basic knowledge on chronic disease management and

preventive care. It also seeks to ensure patients receive their

recommended influenza vaccinations and are not at risk of

osteoporosis.

With better knowledge on how to care for their chronic

conditions, and having had the proper immunisations

before discharge, only 1.54% of the 2,850 patients enrolled

in this program were readmitted to a Restructured Hospital

within 28 days of their discharge.

51Patientshave been

identified for this programme

between November 2015 and March 2016

Reaching Out Seminars & Workshops

Community Engagement Programmes

44

45

PromotingHealthEncouraging active and healthy lifestyles

45

Reaching Out Seminars& Workshops

Community Engagement Programmes

44

The Hospital has taken various initiatives

to reach out and educate the community

on health issues. These Reaching Out

Seminars, which include talks and

workshops cover topics such as diabetes,

stroke, and active ageing. The participants

are encouraged to take proactive steps in

managing their well-being. A total of eight

such sessions were conducted, reaching

out to about 250 seniors in the community.

The Hospital also works closely with our THK sister agencies and community partners

in the Ang Mo Kio region to help the elderly stay independent in the community:

Community Partners of AMK - THKH

Thye Hua Kwan Moral Charities

ORGANISATIONS SERVICES ENGAGED

Agency for Integrated Care

Interim Care Services, Personal Care Services, Senior ActivityCentre and Cluster Support, Senior Group Home - THKMC

National Financial Scheme (e.g. Pioneer Generation Disability Assistance Scheme) Community Case Management Service

EASE Programme for Home ModificationRental of Flat

Counselling Services

Dementia Day Care Services

Referral by GP clinics, Post Discharge – Referrals and monitoring of patients through Grassroots organisations

Financial Assistance

Polyclinics

Housing Development Board

Ang Mo Kio Family Service Centre

Asia Women Welfare Association

Others

Ministry of Social and Family Development – Social Service Office

National Healthcare Group

THKMS Events

Staff Achievements

Media Coverage of AMK-THKH

48

49

50

Our People

49

THKMS Events Staff Achievements

48

Ang Mo Kio – Thye Hua Kwan Hospital has

always taken pride in being a part of Thye

Hua Kwan Moral Society. Our staff have

volunteered to support THK in various

activities and fund raising events.

The annual Inter – Racial Inter-Religious

Harmony Nite (IRIR) 2016 which took place

at the Marina Bay Sands Grand Ballroom

on July 3, 2016 celebrates the multi – racial

and multi – religious harmony of Singapore.

The event was graced by President Tony

Tan Keng Yam. The Hospital staff served as

ushers at this event.

THK Triple Celebrations this year took place

at the Marriott Hotel, marking the Holy

Birthdays of our two Patron Saints, Hua Toh

Zu Shi (Master of Medicine) and Lu Chun

The Singapore Health Quality Service

Award (SHQSA) 2016 saw 293 of

our Hospital staff honoured for their

dedication to quality care and excellent

service. Among them were 17 Star award

winners. The ceremony was held on

January 26, 2016, at University Cultural

Centre and was graced by Dr Amy Khor,

Senior Minister of State, Ministry of Health.

About SHQSA

*The Singapore Health Quality Service Award,

which started in 2011, honours healthcare

professionals who have delivered quality care

and excellent service to patients.

Senior Nurse Manager Stephen Tan was

awarded the Nurses’ Merit Award for his

exemplary work and endless dedication

in providing the best service to the

patients.

About NMA

*The Nurses’ Merit Award which started

in 1976 honours nurses with outstanding

performance and dedication to the nursing

profession.

In recognition of her hard work and her

dedication, Ms Mardiana Binte Sabtu was

awarded with the Healthcare Humanity

Award 2016. She was presented with the

award by Dr Amy Khor, Senior Minister of

State, Ministry of Health on May 6, 2016.

About HHA

*The Healthcare Humanity Award, which

started in 2003, honours healthcare workers

who are inspirational role models for going

the extra mile to offer care and comfort to the

sick and infirmed.

Yang Zu Shi (of the 8 Immortals) and THK’s

38th Anniversary. The Hospital’s Nursing

staff also put in a performance at the

celebrations.

As part of THK’s Harmony Truck Campaign

to promote racial Harmony, the Hospital’s

Nursing staff was also roped in to perform

at Bishan – Ang Mo Kio Park on June 19,

2016.

51

Media coverage on AMK-THKH

50

President’s Award for Nurses 2015 recipient,

Ms Jocelyn Ng was featured in the annual

publication "Moving On" by the Institute of

Technical Education.

Titled "She's Lovin' It", the article charted

her rise from ITE as an enrolled nurse to a

Nurse Educator who is currently pursuing a

Masters in Education.

The article from The Straits Times (below)

dated March 14, 2016 mentioned the

upcoming of the new Community Health

Centre (CHC) at Ang Mo Kio - Thye Hua

Kwan Hospital. The CHC offers services such

as diabetic foot screening, physiotherapy,

dietetic advice and nurse counselling.Volunteer Activities

Our dedicated team of volunteers run about

25 weekly programmes for our patients. These

activities aim to engage our patients in a social

setting. Activities include art and craft sessions,

games as well as art and pet therapy. For the

past year, the Hospital recruited 167 volunteers,

of which 60 of them are volunteering on a

regular basis.

A total of nine companies did their Corporate

Social Responsibility projects at the Hospital.

The companies included Society for the

Physically Disabled (SPD), VMWare Pte Ltd,

Yahoo, Celanese Pte Ltd, Singtel, IBM, Camfill

Sg Pte Ltd, Mindef and RAMO industries. These

programmes were well received by our patients.

Ang Mo Kio – Thye Hua Kwan Hospital was

mentioned as one of the three providers who

will be starting a programme focused on

senior care. Called the Eldercarer Training

Programme, caregivers will receive training

to perform daily tasks such as tube feeding

and diaper changing.

Health Minister’s Visit at AMK-THKHThe Hospital was delighted to

welcome Mr Gan Kim Yong,

Minister for Health and Mr Chan

Heng Kee, Permanent Secretary

on July 20, 2016. The visit, which

included other MOH senior officers

provided them with insights to the

services offered, as well as the

care philosophy of the Hospital.

The patients, who were delighted

to see Mr Gan, also received well-

wishes from him.

FinancialStatements

5554

Ang Mo Kio - Thye Hua Kwan Hospital (the Hospital),

is incorporated in Singapore on 22 February 2002

under the Companies Act, Chapter 50

(Registration Number: 200201385C).

The Hospital is also a Charity registered under the

Charities Act, Chapter 37 (Charity Registration Number:

01589), and an approved institution of a Public Character

under the Singapore Income Tax Act, Chapter 134.

The Hospital has its principal place of registered office at

1 North Bridge Road, #03-03, High Street Centre,

Singapore 179094.

Independent Auditor : KPMG LLP

Bankers : OCBC, DBS, IOB, NAB, UOB

Thank YouOn behalf of our patients, staff and volunteers, we

would like to thank our donors and partners for

your generosity and contributions in enabling us to

achieve continued success in our programmes.

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In service of

the Community

Add: 17 Ang Mo Kio Ave 9, Singapore 569766

Tel: +65 6453 8033 Fax: +65 6454 1729

Email: [email protected]

Web: www.amkh.com.sg

Facebook: www.facebook.com/amkthkh

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