- The Fullerton Hotel Singapore
More than 200 participants across Asia and around the world—including health ministers, policymakers, practitioners, senior pharmaceutical executives and academics—gathered in Singapore on March 28th and 29th at the third Healthcare in Asia roundtable.
Building on the last two successful events, Healthcare in Asia 2012 once again created a forum for stimulating discussions on the most cutting-edge topics in relation to health policy and reforms. The key theme was why and how to use health outcomes to assess the efficiency and effectiveness of health systems in Asia.
Evidence-based clinical outcomes are replacing inputs and process as targets against which healthcare systems are assessed in some developed markets. This innovative approach is in the vanguard of reforms and is already evident in a small number of Asian countries, notably in Singapore.
Gan Kim Yong, Minister of Health of Singapore, in the keynote address, shared how Singapore is in the midst of restructuring its health system to deliver good outcomes in the city-state.
On a panel, health ministers from Malaysia, Indonesia and the Philippines shared how they are reshaping their respective healthcare systems, with rapidly aging societies and the growing burden of non-communicable diseases.
Other highlights included an interview with Paula Risikko, Minister of Social Affairs and Health, Finland and executive interviews with Sir Andrew Dillon, Chief Executive, National Institute for Health and Clinical Excellence (NICE) from the UK and Wyatt Decker, Vice President of Mayo Clinic, a leading non-profit, patient-centred healthcare system in the US.
Other government leaders, academics, policy makers and expert industry stakeholders who participated in Healthcare in Asia 2012 include Shi Guang, Director, Health Policy Research Division, Ministry of Health, China; Paula Wilson, President and Chief executive officer, Joint Commission Resources and Joint Commission International; Anil Kapur, Managing Director, World Diabetes Foundation; Mary Gospodarowicz, President-Elect, Union for International Cancer Control and others.
Discussions at the conference were led by Charles Goddard, editorial director, Asia-Pacific, Economist Intelligence Unit and Simon Long, Asia Columnist, The Economist.
Throughout the one and half day event, attendees and people outside the conference were invited to share and follow live updates via our social media campaign on twitter and LinkedIn.
View photo highlights of the day:
Healthcare in Asia 2012
Healthcare outcomes in Asia: a new approach for efficiency and effectiveness
DAY 1
| 8.00am | Registration and refreshments
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| 8.45am | Conference vision Introduction from the chairman on the background, vision and objectives of the Healthcare in Asia 2012 roundtable Charles Goddard, Editorial Director, Asia-Pacific, Economist Intelligence Unit
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| 9.05am | Scene setting interview Revisiting the goals—Why structure healthcare systems around clinical outcomes? England's National Health Service is undergoing a major shift in thinking towards a primarily outcomes-oriented framework for improving healthcare quality and performance and raising health outcomes. Variants of this approach-in which evidence-based clinical outcomes are replacing inputs and process as targets against which healthcare systems are assessed-are in the vanguard of reforms in mature healthcare systems, here in Asia and around the world. The issues are complex, and the challenges considerable but the new path being beaten arguably has relevance for all.
Sir Andrew Dillon, Chief Executive, National Institute for Health and Clinical Excellence Moderator: Charles Goddard, Editorial Director, Asia-Pacific, Economist Intelligence Unit
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| 9.50am | Keynote address How could an outcomes-oriented approach has enabled Singaporeto develop a healthcare system to meet the needs of its population Gan Kim Yong, Minister of Health, Singapore Moderator: Simon Long, Asia Columnist, The Economist | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 10.25am | Networking break | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 10.50am | Ministerial Dialogue: Assessibility, accountability and affordability As income rise, as do expectations, much progress has been made in improving health in many Asian countries. Yet the challenges ahead seem ever more daunting. Rapidly ageing societies and the growing burden of non-communicable diseases-among both developed and developing Asian countries-pose fundamental questions of healthcare systems in the region. Here ministers and policymakers reflect on how they are reshaping their respective healthcare systems, and on the appropriateness of an outcomes-oriented approach for their national health strategies. Liow Tiong Lai, Minister of Health, Malaysia Nemesio Gako, Assistant Secretary, Department of Health, Republic of the Philippines Nila Moeloek, Special Envoy of the President of the Republic of Indonesia on Millenium Development Goals Moderator: Simon Long, Asia Columnist, The Economist
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| 11.35am | Discussion: Information, infrastructure and incentives-Challenges of implementing an outcomes-oriented framework for healthcare systems in Asia There is no simple transition form provider-and facilities-centric healthcare systems to those that are outcomes-focused, patient-centric and broadly intergraterd across the healthcare and public health spectrums. The focus on quality and outcomes requires new structures, and new information and reward systems to be in place.
David Kalisch, Director (CEO), Australian Institute of Health and Welfare Paula Wilson, President and Chief Executive Officer, Joint Commission Resources and Joint Commission International Sarah Muttitt, Chief Information Officer, MOH Holdings, Singapore Moderator: Charles Goddard, Editorial Director, Asia-Pacific, Economist Intelligence Unit
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| 12.20pm | Case studies: The conundrum of non-communicable diseases Asia is facing a crisis in non-communicable diseases, and healthcare systems are often ill-prepared to deal with this looming burden, even as many continue to deal with the burden of communicable diseases. Outcomes-oriented approaches, and a simultaneous focus on greater intergration of healthcare and other health-related policy areas, may offer new directions and solutions. This discussion is a prelude to the breakout sessions, which focus on two non-communicable diseases, diabetes and cancer, as examples of how outcomes-oriented policies might be applied in specific diseases areas, and throughout the lifecycle of these diseases.
Garry Jennings, Director, Baker IDI Heart and Diabetes Institute Giberto Lopes, Senior Consultant and Medical Oncologist, Johns Hopkins Singapore International Medical Centre Mary Gospodarowicz, President-Elect, Union for International Cancer Control Anil Kapur, Managing Director, World Diabetes Foundation Moderator: Henry Dummett, Director, Asia Pacific, Double Helix Consulting
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| 1.05pm | Hypothesis, goals and framework To facilitate the afternoon breakout discussions, a brief word on assumptions and goals. Charles Goddard, Editorial Director, Asia-Pacific , Economist Intelligence Unit
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| 1.15pm | Lunch | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2.15-4.00pm | Concurrent breakout sessions: Prevention and diagnosis
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| 4.00pm | Networking break | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4.30pm | Interview: How can a universal health system improve health outcomes? Paula Risikko, Minister of Social Affairs and Health, Finland Moderator: Simon Long, Asia Columnist, The Economist
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| 5.05pm | Discussion: Outcomes-based health policymaking-Payoffs and pitfalls? Advocates of an outcomes-oriented approach in healthcare extol its effectiveness in delivering improved performance in healthcare services, and in creating cost and investment efficiencies. “A powerful new accountability framework … designed to focus the whole system from top to bottom on the outcomes achieved for patients” was how one review praised the UK’s new outcomes-oriented focus. But is it so simple? Critics, while often recognising the attractiveness of such an approach, point also to its limitations: the difficulty of separating clinical outcomes from wider determinants of health; the complexity of measuring evidence-based improvements; the sense that outcomes cannot be a sole focus in an integrated, holistic health system.
Shi Guang, Director, Health Policy Research Division, Ministry of Health, China Lee Chien Earn, Deputy Director of Medical Services, Ministry of Health, Singapore Martin Sepulveda, Vice-president, IBM Health Industries Research Peter Sheehan, Professor, Centre for Strategic Economic Studies, Victoria University Moderator: Charles Goddard, Editorial Director, Asia-Pacific , Economist Intelligence Unit
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| 5.55pm | Closing remarks | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6.00pm | Cocktail reception | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
DAY 2
| 8.00am | Registration and refreshments
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| 8.45am | Executive interview: Wyatt Decker, Vice-president, Mayo Clinic Moderator: Charles Goddard, Editorial Director, Asia-Pacific , Economist Intelligence Unit
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| 9.30am | Dialogue: China's healthcare in focus Five years ago, China set a goal to build “safe, effective, convenient and affordable” health services. Considerable investments have been put into making healthcare more accessible and affordable to the general public, with some modest successes. Yet China’s healthcare system lags the extraordinary progress seen in the broader economy, and improved health outcomes are quite often proving elusive. Healthcare spending remains low as a percentage of GDP, and health costs continue to rise, putting affordable, quality care beyond the reach of many. Some commendable progress has been made but the road ahead is difficult and complex
Shi Guang, Director, Health Policy Research Division, Ministry of Health, China Moderator: Charles Goddard, Editorial Director, Asia-Pacific , Economist Intelligence Unit
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| 10.10am | Networking break | ||||||||||||||||||||||||||||||
| 10.40am-11.50am | Concurrent breakout sessions: Treatment | ||||||||||||||||||||||||||||||
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| 11.50am-12.30pm | Concurrent breakout sessions: Long-term care
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| 12.30pm | Conclusion: Outcome of the outcomes | ||||||||||||||||||||||||||||||
The conference chairpersons are joined by experts to synthesise the outcomes from the breakout sessions and from the broader conference.
Gilberto Lopes, Senior Consultant and Medical Oncologist, Johns Hopkins Singapore International Medical Centre Peter Sheehan, Professor, Centre for Strategic Economic Studies, Victoria University Anil Kapur, Managing Director, World Diabetes Foundation Charles Goddard, Editorial Director, Asia-Pacific , Economist Intelligence Unit Henry Dummett, Director, Asia-Pacific, Double Helix Consulting | |||||||||||||||||||||||||||||||
| 12.30pm | Conclusion: Outcome of the outcomes (Back to the main room) The Chairmen and experts from different sectors will synthesise the outcomes of the conference discussions: the ideas, thoughts and proposals that have emerged through the conference..
Gilberto Lopes, Senior Consultant and Medical Oncologist, Johns Hopkins Singapore International Medical Centre Peter Sheehan, Professor, Victoria University Anil Kapur, Managing Director, World Diabetes Foundation Charles Goddard, Editorial Director, Asia-Pacific , Economist Intelligence Unit Henry Dummett, Director, Asia Pacific, Double Helix Consulting
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| 1.00pm | Lunch and end of conference | ||||||||||||||||||||||||||||||
Gan Kim Yong, Minister of Health, Singapore
Charles Goddard, Editorial Director, Asia Pacific, Economist Intelligence Unit
Simon Long, Asia Columnist, The Economist
Paula Risikko, Minister of Social Affairs and Health, Finland
Liow Tiong Lai, Minister of Health, Malaysia
Shi Guang, Director, Health Policy Research Division, Department of Health Policy and Legislation, Ministry of Health, China
Nemesio T. Gako, Assistant Secretary of Health, Department of Health, Philippines
Nila Moeloek, Special Envoy on Millenium Development Goals, Office of the President of the Republic of Indonesia
Sir Andrew Dillon, Chief Executive, National Institute for Health and Clinical Excellence
Lee Chien Earn, Deputy Director of Medical Services, Ministry of Health, Singapore
Elmer Soriano, Country Manager, Philippines, ACCESS Health International
David Kalisch, Director (CEO), Australian Institute of Health and Welfare
Professor Garry Jennings AM, Director, Baker IDI Heart and Diabetes Institute
Maqsood Siddiqi, Chairman and Managing Director, Cancer Foundation of India
Rick Evans, Chairman, Columbia Asia
Henry Dummett, Director, Asia-Pacific, Double Helix Consulting
Minh Chau Nguyen, Country Director, East Meets West Foundation
Martín Sepúlveda, Vice President, Health-Industries Research, IBM Corporation
Gilberto Lopes, Senior Consultant Medical Oncologist and Assistant Director for Clinical Research, Johns Hopkins Singapore International Medical Centre
Fikry Isaac, Vice President, Global Health Services, Chief Medical Officer, Wellness & Prevention, Johnson & Johnson, Co-chair, APEC Life Sciences Innovation Forum
Paula Wilson, President and Chief Executive Officer, Joint Commission Resources and Joint Commission International
John Boyages, Director and Professor of Breast Oncology, Macquarie University Cancer Institute
Wyatt Decker, Vice President, Mayo Clinic, Chief Executive Officer for Mayo Clinic in Arizona
Sarah Muttitt, Chief Information Officer, MOH Holdings, Singapore
Nathan Sigworth, Co-Founder and Chief Executive Officer, PharmaSecure
Chris Wasden, Global Healthcare Innovation Leader, PwC
Mary Gospodarowicz, President-Elect, Union for International Cancer Control, Miedical Director, Cancer Programme, Princess Margaret Hospital, Toronto
Kun-Ho Yoon, Vice Chairman and Chief Planning Officer, Catholic Medical Centre, The Catholic University of Korea
Kenji Shibuya, Professor and Chair, Department of Global Health Policy, The University of Tokyo
Shiyong Wang, Senior Health Specialist, Human Development Unit, East Asia and Pacific Region, The World Bank
Peter Sheehan, Professor, Centre for Strategic Economic Studies, Victoria University
Anil Kapur, Managing Director, World Diabetes Foundation
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