Dr Keith Lim graduated from the National University of Singapore and obtained his post graduate fellowship in Radiation Oncology from the Royal Australian, New Zealand College of Radiology (RANZCR). Dr Lim’s sub-specialty interests are in the central nervous system and prostate cancer, where he has pioneered the use of high dose rate prostate brachytherapy in Singapore.
 
Dr Lim has been published in numerous peer-reviewed journals and has been awarded several national competitive research grants. He is very active in the field of medical education and has served as an Assistant Dean with the Yong Loon Lin School of Medicine, National University of Singapore, and is presently a member of the Residency Advisor Committee for Singapore’s national radiation oncology training programme.

Dr Lim presently leads the Value Driven Outcome (VDO) initiative for National University Health System, which aims to ensure patients receive the best quality care by monitoring the level of care delivered and the cost it takes to achieve this. He also presently chairs the National Value Healthcare workgroup for the Ministry of Health, Singapore, which is implementing the VDO project nationally.

Presentation Synopsis
Value Based Healthcare
With an ageing population, growing chronic disease burden and rising healthcare cost in Singapore, the challenge for healthcare institutions is how to improve quality and outcomes for patients while rationalizing the cost borne by the patients and the institution required to do so.   To address this challenge, The NUHS Value Drive Outcomes (VDO) team developed the capability to allocate cost of care and quality measures to each patient encounter, so as to empower clinicians with the tool and information to understand the value of care, identify variances and best practices in order to drive optimisation of cost and health outcomes.

Driven by the insights from the VDO reports, teams were able to initiate improvement plans such as improving DVT prophylaxis compliance; adopting cost effective standard implants; standardising investigations and improving inpatient management protocols. This has resulted in hospital wide increases in the quality of care received by patients with a reduction in the cost of care. This talk will describe how the initiative was set up, share challenges and benefits from embarking on such a journey and provide ideas for centres which are keen to embark on their own VDO journey