Media Releases

Ng Teng Fong General Hospital Becomes First in Singapore and ASEAN to Achieve HIMSS Analytics EMRAM Stage 7 Award

7 Oct 2016

HIMSS Analytics Asia Pacific is proud to announce that Ng Teng Fong General Hospital (NTFGH), which is managed by JurongHealth, has achieved HIMSS EMRAM Stage 7, in collaboration with Integrated Health Information Systems (IHiS), the Health Ministry's IT arm that manages information technology and innovations at all public healthcare institutions. 

NTFGH’s achievement is the first in Singapore and ASEAN. It is also only the fifth hospital in all of Asia Pacific to reach Stage 7.

HIMSS Analytics developed the EMR Adoption Model in 2005 as a methodology for evaluating the progress and impact of electronic medical record (EMR) systems for hospitals in the HIMSS Analytics™ Database. There are eight stages (0-7) that measure a hospital's implementation and utilisation of information technology applications. The final stage, Stage 7, represents an advanced patient record environment. The validation process to confirm a hospital has reached Stage 7 includes a site visit by an executive from HIMSS Analytics and former or current chief information officers to ensure an unbiased evaluation of the Stage 7 environments.

NTFGH’s technological transformation achieved many firsts in Singapore including the implementation of the most number of medical devices (976) interfaced directly into the EMR system and the achievement of a 4-Less Environment: Chartless, Scriptless, Filmless and Paper-less.

Said Mr Foo Hee Jug, Chief Executive Officer, JurongHealth: "We are very honoured and happy to receive this recognition. We are fortunate to be able to plan and implement an integrated technology infrastructure and IT systems in our new hospitals right from the start. This allowed us to level up with the other healthcare institutions with HIMSS Stage 6 within two months of opening.  Moving on to Stage 7 is indeed a milestone for all of us at JurongHealth as we are literally paper-less, scriptless, chartless and filmless!  Our nurses love it when they no longer need to chart manually as almost all our medical equipment are integrated directly to our EMR. I am heartened by the collective commitment within the hospital to make this possible. The 97% utilisation of electronic orders, 98% adoption rate of barcoding, low paper footprint, and comprehensive analytics across clinical and operational data have allowed for better integration of data and clinical decision support, improved workflow and processes as well as care delivery. The level of collaboration among the doctors, nurses, pharmacists and ancillary staff is amazing and we will continue to harness the potential of the integration, robust data sharing and analytics to achieve better patient care and outcome.”

On the achievement, Dr Chong Yoke Sin, CEO, IHiS, shared: "Obtaining Stage 7 is indeed an achievement for Singapore - for public sector healthcare, and even more so for patients. The pervasive use of technology and four-less environment implemented at Ng Teng Fong General Hospital demonstrated enhanced patient safety, time savings for healthcare professionals, and shorter hospital stays for patients. Ultimately, this resulted in more time for their healthcare professionals to spend on direct patient care, cost savings for patients, and made hospital resources available for more patients to be treated. We reap multiple benefits through the integration of devices and over 50 systems – it helps to avoid ‘silos’ of information, enables critical patient data and intelligent analyses to be easily retrieved in a short time, which otherwise wouldn’t be possible if done manually.”

John Daniels, Global Vice President, Healthcare, Advisory Services Group, HIMSS Analytics said: “Ng Teng Fong General Hospital has achieved Stage 7 of the acute care EMRAM in less than two years after opening its doors to patients.  It was very clear that the staff at this hospital from the CEO and throughout the organisation, are all in harmony on using information technology to provide the best possible healthcare to the people of Singapore.  From significant improvements in reducing the length of hospital stays to generating cost savings for both patients and the hospital, JurongHealth can be proud of this hospital becoming the first Stage 7 hospital in Singapore.”


For media enquiries, please contact: 

Melissa Leong
Marketing and Strategic Relations Manager
HIMSS Asia Pacific
D: 6664 1182
E: mleong@himss.org

Jean Louise Lee 
Deputy Director, Communications 
Integrated Health Information Systems (IHiS) 
D: 65941697 HP: 97313021 
E: jeanlouise.lee@ihis.com.sg 

Aaron Loh
Manager, Communications 
Ng Teng Fong General Hospital and Jurong Community Hospital (JurongHealth)
D: 67165845 HP: 96821117 
E: aaron_loh@juronghealth.com.sg

About HIMSS
HIMSS is a global voice, advisor and thought leader of health transformation through health IT with a unique breadth and depth of expertise and capabilities to improve the quality, safety, and efficiency of health, healthcare and care outcomes. HIMSS designs and leverages key data assets, predictive models and tools to advise global leaders, stakeholders and influencers of best practices in health IT, so they have the right information at the point of decision. Through its health IT network of over 1 million experts, over 200 knowledge exchanges and collaborations, including 60,000-plus members, HIMSS drives innovative, forward thinking around best uses of technology in support of better connected care, improved population health and low cost of care. HIMSS is a not-for-profit, headquartered in Chicago, Illinois with additional offices in North America, Europe, United Kingdom and Asia.

About HIMSS EMRAM
HIMSS Analytics developed the EMR Adoption Model in 2005 as a methodology for evaluating the progress and impact of electronic medical record systems for hospitals in the HIMSS Analytics® Database. Tracking their progress in completing eight stages (0-7), hospitals can review the implementation and utilisation of information technology applications with the intent of reaching Stage 7, which represents an advanced electronic patient record environment. 

Visit www.himssanalyticsasia.org for more information on the Stage 7 award.

About Integrated Health Information System (IHiS) 
IHiS is a multiple award-winning Healthcare-IT Leader that architects and manages highly integrated systems across Singapore’s public healthcare sector, supporting more than 40,000 healthcare staff at all public hospitals, national specialty centres and polyclinics. It transforms patient care through smart technology.

IHiS has garnered more than 60 awards for its innovations, and played a key role in nine Singapore public healthcare institutions becoming amongst the first in Asia Pacific to achieve HIMSS EMRAM Stage 6, an international benchmark for advanced technology used in patient care. For more information, visit www.ihis.com.sg & www.facebook.com/ihis.sg 

About Jurong Health Services 

Jurong Health Services (JurongHealth) is Singapore's public healthcare cluster formed to facilitate the integration of services and care processes for the community in the west.

JurongHealth is managing the new integrated healthcare hub comprising the 700-bed Ng Teng Fong General Hospital and 400-bed Jurong Community Hospital to provide holistic care for patients. The two new hospitals are an integral part of the Jurong Lake District Masterplan. JurongHealth is also managing Jurong Medical Centre, a one-stop healthcare centre providing a range of specialist services and community health support services for residents in the west.


ANNEX

Ng Teng Fong General Hospital Awarded HIMSS Analytics EMRAM Stage 7 

Scriptless, Chartless, Filmless and Paper-less Environment 
At HIMSS EMRAM Stage 7, Ng Teng Fong General Hospital (NTFGH) has adopted full digital clinical documentation and demonstrated how the integrated Electronic Medical Record (EMR) and analytics are used to improve clinical, operational and business areas. The integrated EMR system is designed for the data to flow seamlessly between all clinical services under JurongHealth. As an integrated development with the adjacent Jurong Community Hospital (JCH), the doctors and staff of both NTFGH and JCH are able to have fast and accurate access to information, resulting in better patient care coordination.

Reaching HIMSS Stage 7 also validates NTFGH’s use of information systems to improve staff efficiency, information accuracy and overall cost savings. With the automation and digitizing of patient documentation, more time is dedicated to patient care.  

Precision Medicine Through Integration and Decision Support with Comprehensive Analytics
Patient vital-signs monitors are connected via wireless technology to transmit data securely into the EMR. This includes ECG, which is essential to monitoring heart conditions. In fact, cost savings from the eliminating ECG paper printouts alone was $69,000 in the last one year.  The hospital-wide vital-signs monitors send 15 automated measurements wirelessly to the EMR, every 60 seconds. These measurements are sent directly and accurately into the right patient record because of the checks done using bar-coded patient identity verification. Human transcribing errors which could occur with manual recording of patient vital-signs are avoided.

In addition, the system computes a risk score from these vital signs, combined with other clinical observations and assessments. These risk scores are represented at various locations, as well as in the EMR, with an easy, intuitive traffic-light system of Red, Yellow and Green. Red would indicate a high risk and Green would indicate a low risk. Enhancements are already in the pipeline to further allow the clinicians to practice precision medicine by customising the alert parameters for each individual patient, making this risk score clinically relevant and tailored for each patient.

Reduction in Repeated Blood Extractions
Blood specimen analysis and testing is one of the mainstay tools in monitoring for our patients. The EMR is fully integrated with the laboratory systems, and through advanced algorithms, a repeat blood test order can potentially be analyzed using a specimen taken earlier that day. When the condition matches the safety profile and rules predetermined, the EMR will automatically suggest that a repeat test order be analysed using a recent specimen, thereby reducing repeat blood extractions from the patients.