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Extreme makeover at AH
 
A Raffles Hotel wannabe. The “other Botanic Gardens”. These “labels” are what Alexandra Hospital (AH) is proud to wear. Find out why as Chief Executive Officer Liak Teng Lit shares about purposeful learning from the private sector and changes that have transformed the hospital.

If you’ve been to AH in recent years, you would have noticed that it has undergone radical change.

“Years ago, we were run down, dirty, cluttered, full of spider webs, dust, cockroaches, rats, a hundred over stray cats,” claimed Mr Liak.

Today, the hospital looks clean, friendly and inviting. One visitor was even overheard commenting: “It looks more like an arts house than a hospital!” What caused the change?

Mr Liak said that a major factor was the results of a patient satisfaction survey of all the public hospitals conducted by the Ministry of Health in 1999. Results showed that most people did not want to be admitted to AH. Of those who went to AH, 39% said they would not recommend the hospital to others.

To address this dire situation, AH staff swiftly introduced changes throughout the hospital by adopting the best practices of private sector leaders.

THE RIGHT STAFF
To enhance service levels, AH invited Singapore Quality Award winner
Ritz-Carlton, Millenia Singapore to share its expertise sometime in mid-2000. The takeaway: In order to provide good customer service, it is crucial to select the right people.

Heeding this advice, AH began recruiting only positive and passionate people with the right attitude and good people skills.

Everyone at AH is encouraged to innovate. The dojo room is where most kaizens a.k.a. improvement projects are discussed and planned.
GROWING INITIATIVE
In enhancing the hospital’s environment, AH staff saw potential in the old hospital buildings and invited Raffles Hotel to share its experience of turning the old, run-down Raffles Hotel into a world-renowned deluxe hotel.

Excited and inspired by the sharing session, they got together to spruce up the hospital.

At the same time, another group of staff took the initiative to plant canna seedlings at the hospital entrance. Within three months, the flowers bloomed, raising everyone’s spirits.

Subsequently, the staff were inspired to turn the bare grounds of the hospital into a lush, green den like Botanic Gardens. Together with volunteers, more
and more AH staff got into gardening, and in time, the whole place took on a new look.

PREVENTION IS BETTER THAN CURE
AH’s change was not merely cosmetic. The staff were equally serious about improving patient care. They saw AH as a fertile ground for trying a new service model — lifelong, anticipatory care. Simply put, they did not want to focus only on treating the sick but to take steps to prevent people from falling ill in the
first place.

As a result of this total change in the concept of patient care, widespread changes were introduced to AH’s healthcare system.

AN INNOVATION A DAY
At AH, everyone is encouraged to work on kaizens or small improvement projects as well as to propose breakthrough ideas that can lead to
radical change.

The guidelines: All innovations must make it better, faster, cheaper or safer for patients to be diagnosed, treated or given medical advice.

To get a view of the queue at AH’s Department of Emergency Medicine (see bottom picture), log onto www.alexhosp.com.sg and click on the “A&E Queue Viewer” link. The photograph and information on waiting time and number of patients is updated every five minutes. So if you need emergency treatment, you can gauge the length of waiting time at AH. This idea was inspired by the Land Transport Authority’s one motoring website, which offers a real-time view of the traffic situation along major expressways. The National University Hospital has also adopted the Queue Viewer. You can access it from the NUH website as well as through AH’s A&E Queue Viewer link.

MORE LESSONS FROM THE PRIVATE SECTOR

AH also tapped on the expertise of other successful private companies. For example, to start a call centre, AH sought help from Citibank. By visiting the Toyota Bodycare Centre in Singapore and manufacturing plant in Japan, AH staff were inspired to continually improve work processes. And staff who visited Ikea were impressed by its service philosophy and company culture.

ACTING ON FEEDBACK
At the end of the day, it is the patient who is the best judge of AH’s transformation. Mr Liak said that while more compliments have been coming in, he wants patients to “tell us the bad news”.

In fact, those who make complaints are invited to a special lunch where AH staff are all ears to hear them out. The end result — more changes that lead to even more improvements to AH.


When patients visit the Department of Emergency Medicine (DEM) during peak hour, they don’t have to wait long. This is because a senior doctor is there to quickly diagnose their condition. Said Dr Francis Lee, Head and Senior Consultant of DEM, who introduced the idea: “A senior doctor upfront can take stock of the crowd situation, rally his team to tackle the problem and provide better supervision for junior doctors. As a co-ordinator of care for many patients, the senior doctor can see and treat them totally, or see and formulate an investigation and care plan before assigning the patient to a junior doctor.” This idea, adapted from Toyota, has halved the waiting time
at DEM.
 
 
by Challenge Editorial Team

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