VDC Conference 2019

On behalf of the Ministry of Health, we would like to thank you for your participation at the VDC Conference 2019: Beyond Quality to Healthcare: Driving Value, Shaping Culture. We hope you have enjoyed the various sessions, made new connections, and are now more inspired to drive the change towards Value in Healthcare in your own institutions.

Kindly note that poster abstracts and conference materials from the event will continue to be available until 10 Oct 2359.


We would love to hear your feedback on how we can make our conference better. Share your feedback using the details below. Feedback will close on 10 Oct 2019 2359H.



The Ministry of Health (MOH), in collaboration with the three clusters, has been leading healthcare system transformation in Singapore to implement the ‘3 Beyonds’ strategy – ‘Beyond Healthcare to Health’; ‘Beyond Hospital to Community’; and ‘Beyond Quality to Value’. A key initiative under the strategic thrust of ‘Beyond Quality to Value’ is the Value-Driven Care (VDC) programme.

This programme involves all our public hospitals and institutions in benchmarking clinical quality indicators and cost data, to identify best practices and opportunities to improve clinical outcomes in a cost effective way. To support this shift, MOH is also testing and implementing different payment models (e.g. bundled payment) to encourage more coordinated, integrated care that also results in higher value.




Workshop (24 Sep 2019): Payment and Care Reforms to Achieve the 3rd Beyond: Insights on Quality to Value

The workshop is organised in collaboration with the Duke University’s Robert J. Margolis Center for Health Policy.

Effective reform requires changes in four major areas: health policy reforms such as data sharing and performance measurement to support population health improvement activities; payment and financing reforms that promote person-focused care and accountability and alignment across health system components and providers; development of organisational competencies (e.g. governance, change management, health IT, and finance) that enables health care organisations to implement care reforms that reliably increase value; and care delivery innovations that support improvements and population health spanning medical needs and social determinants of health.

This workshop aims to provide a better understanding of potential steps to advance value-based care reform in the Singapore context, the identification of tools and resources that can be developed further to improve the support available for value-based care reform, and an assessment of further steps and resources to advance value-based care reforms. 

Participants will leave with a better understanding of the specific steps that they can take, within their own cluster and collectively, to increase the speed and effectiveness of value-based care reform. The workshop is also intended to foster increased collaboration among the clusters and with global experts to overcome common challenges in implementing value-based care reforms.


Workshop Programme

12:00 - 13:00 Registration

13:00 - 13:45

Keynote: Policy and Care Reform for Successful Population Health by Prof Mark McClellan, Director and Robert J. Margolis, M.D., Professor of Business, Medicine and Health Policy, Duke-Margolis Center for Health Policy

Drawing from experiences in the US and globally, the keynote will review the current payment and care delivery landscape in Singapore, and highlight the kinds of practical steps each cluster can take to succeed in value-based care. This includes succeeding in episode-based payment models, and developing further care and financing models that are more patient-centered and value-focused.


Please click here for presentation materials.

13:45 - 15:15

Session 1: Innovations in Care Integration for Success in Bundled Payments by Dr Jonathan O’Donnell,Manager, Practice Transformation Unit, Department of Orthopedic Surgery & Research Affiliate, Duke-Margolis Center for Health Policy and A/Prof Janet Bettger, Director of Health Policy and Implementation Science, Department of Orthopedic Surgery & Director of Undergraduate Education and Research Initiatives, Duke-Margolis Center for Health Policy.

This session will use reforms in care for degenerative joint disease and conditions requiring an acute medical or surgical hospitalisation to illustrate the development and implementation of care models that aim to improve outcomes while limiting total costs of care. The session will include a panel discussion with Cluster representatives on the findings and resources needed for care redesign and implementation to enable success in value-based bundled payment (e.g. supporting data, care team redesign, integration of social care).

Panel Discussion:

Prof Mark McClellan (Duke-Margolis Center for Health Policy) - Moderator


A/Prof Janet Bettger (Duke-Margolis Center for Health Policy)

Dr Jonathan O’Donnell (Duke-Margolis Center for Health Policy)

A/Prof Terence Tang (National Healthcare Group)

Dr Diarmuid Murphy (National University Health System)

Dr Lim Eng Kok (SingHealth)


Please click here for presentation materials.

15:15 - 15:45 Networking tea

15:45 - 17:00

Session 2:  Developing Key Capabilities for Person-Focused Care Transformation by Ms Aparna Higgins, Policy Fellow, Duke-Margolis Center for Health Policy & Founder and CEO of Ananya Health Innovations Inc, and A/Prof Janet Bettger, Director of Health Policy and Implementation Science, Department of Orthopedic Surgery & Director of Undergraduate Education and Research Initiatives, Duke-Margolis Center for Health Policy

This session will focus on what capabilities are needed for person-focused care transformation, with an emphasis on how the clusters are developing these capabilities and how they can be advanced. This could include value-driven outcomes assessment (including incorporation of patient-reported outcome measures); capabilities assessment to address patient care pathways, particularly complex patients; steps to address social factors that influence medical costs and outcomes. The session will include a panel discussion with Cluster representatives on findings and resources for care redesign and implementation (e.g. supporting patient care pathways, organisational reforms to integrate primary and specialized/hospital-based care).


Panel Discussion:

Prof Mark McClellan (Duke-Margolis Center for Health Policy) - Moderator


Ms. Aparna Higgins (Duke-Margolis Center for Health Policy)

A/Prof Janet Bettger (Duke-Margolis Center for Health Policy)

Dr Kelvin Bryan Tan (Ministry of Health)

A/Prof James Yip (Ministry of Health/National University Health System)

A/Prof Sean Lam (SingHealth)


Please click here for presentation materials.


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Conference (25 Sep 2019): Beyond Quality to Value; Driving Value, Shaping Culture

This conference aims to be a platform for you to hear from MOH, as well as learn from international and local experts about their journey, successes and challenges in implementing VDC.

Join us at the Conference to hear more about:

The critical role of value-based healthcare in supporting MOH’s 3 Beyonds
International and local experts on implementing and sustaining VDC
Poster and oral presentation to showcase local experiences in advancing value in healthcare services provided to patients
Panel Discussion with MOH Senior Management and international thought-leaders


Conference Programme

08:30 - 09:00


09:00 - 09:15

Opening Remarks by Mr Chan Heng Kee, Permanent Secretary, Ministry of Health

09:15 - 10:00

Care and payment reforms for Value-based care by Prof Mark McClellan, Duke-Margolis Centre for Health Policy

His presentation will focus on how payment reform policies have impacted outcomes. In response to epidemiological, demographic, and economic transitions, countries around the world are implementing new ways of delivering and paying for care that better address changing health needs. Known as “Value-Based Care” (VBC), these new models allocate resources that are linked to overall population health outcomes rather than specific clinical services, resulting in higher value for payment. This session will draw on global experiences to illustrate how countries are applying components of VBC – policies, financing, delivery innovations and organisational capabilities.


Please click here for presentation materials.

10:00 - 10:30 Networking tea and poster viewing

10:30 - 11:00

Unlocking Value through Financing Redesign by Mr Chan Beng Seng, Group Director (Healthcare Finance Division), Ministry of Health

The quest for value involves transforming our healthcare delivery models.  His presentation will provide an overview of how the design of subvention to public healthcare institutions is evolving to provide greater flexibility to clinicians to transform and optimise care so as to unlock greater value.  


Please click here for presentation materials.

11:00 - 11:45

How Measuring Total Costs of Care with Time-Driven Activity-Based Costing (TDABC) Accelerates Value Driven Care by Dr Mahek Shah, Project Director and Senior Researcher, Harvard Business School

His presentation will provide a strategic framework for the value driven and the strong focus around measurement especially on costs. As the unsustainable rise of health care costs around the world, it is critical to understand what your underlying costs are at the level of the patient. This is a necessary step towards creating value-based payment models and bundles. By understanding your costs and the patient care pathways, TDABC creates insights to drive process improvement and redesign care to deliver high quality outcomes. Dr Shah will share experiences directing senior leadership in the design and creating the strategy for evaluating costs at providers, suppliers, at both public and private institutions, to drive health care forward toward value. 


Please click here for presentation materials.

11:45 - 12:45

Oral Presentations of Local VDC Projects

12:45 - 14:00

Lunch, and poster viewing

14:00 - 15:00

Oral Presentations of Local VDC Projects

15:00 - 15:45

Learnings on Implementing Value Based Healthcare in health care systems by Ms Jennifer Clawson, Partner & Associate Director, Boston Consulting Group

Her presentation will include discussion of two principal levers to drive the change – transparent measurement of standard outcomes that matter most to patients and value-based procurement.  Together, these two levers help to engage clinicians, collaborate across departments and stakeholders to build trust and align incentives.


Please click here for presentation materials.

15:45 - 16:30

Role of Private Insurers in a Value-Based Healthcare Environment by Dr Alan Ong, Medical Director, AIA Singapore

His presentation will discuss the role of private insurers in moving our system toward Value Based Healthcare, the capabilities that local insurers need to build to play that role effectively, and the enabling changes in operating context that stakeholders should consider.


Please click here for presentation materials.

16:30 - 17:00

Networking Tea and Poster Viewing

17:00 - 17:45

Panel Discussion: Enablers and Barriers to Driving and Implementing Value-Based Healthcare in Singapore



Dr Daphne Khoo (Deputy Director of Medical Services (Healthcare Performance Group), Ministry of Health)



A/Prof Benjamin Ong (Director of Medical Services, Ministry of Health)

Prof Mark McClellan (Duke-Margolis Center for Health Policy)

Ms Jennifer Clawson (Boston Consulting Group)

Dr Mahek Shah (Harvard Business School)

Dr Alan Ong (AIA Singapore)

Mr Chan Beng Seng (Ministry of Health)

17:45 - 18:00

Award Presentation for Posters and Oral Presentations


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