Sunday, November 30, 2008

In memory of Ho Hwei Yen...

I do not know you, but yet your untimely death has struck an emotional cord with me and my family. The danger of terrorism has been personalised and the message brought home.

The heart of a terrorist can never be fanthomed because what can bring someone to the point where the heart and mind is fully separated. That killing the innocent can become a virtue, and taking away another's life not longer mean anything?

But, when innocent lives like that of Ho Hwei Yen is taken, it helps to unite the minds and hearts of Singaporean that we need to stay vigilant and be part of the fight against terrorism. Hwei Yen, you now represent the face of our resolve.

My condolence to your husband and your family. I feel the pain of your husband Michael when he wrote "My beautiful angel Yen, without you my life has no meaning and no purpose. You were everything to me and the time i spent with you was the happiest of my life. Your family misses you more than words can express. We love you so much and pray that God has you in His loving Arms."

The hearts of Singaporeans are with you... God Bless

Monday, November 24, 2008

I am so Happy to be Back Singapore!

I touched down Singapore at 5.50pm today via Singapore Airlines, and as I was driving home, my wife and us both experienced the sweet feeling of homecoming. The sense that this (Singapore) is where we belong...

Don't get me wrong, my family just had one of the best vacation ever in Japan. It was a time of bonding, of having fun at Disney, of marveling at the beauty of nature especially at Mt Fuji and Hakone, and of delighting our palette with the wonderful variety of beautiful and "Oushi" Japanese food. The experience was truly extraordinary, but yet it was different.

I want to write about the many things that I get to experience and learnt...but I guess it will have to wait till I get my much needed dose of sleep. We have many things to be thankful for in Singapore. Everytime I take a trip out, I come back developing a deeper affection for this Lion City that we call home.

Otherwise, I just want to drop a note that I am back!

Sunday, November 16, 2008

Documenting Japan Brand of Service...

For the next 8 days, I will be at the "Happiest Place on Earth" - so goes the tagline by Disneyland, and visiting various places of interest in Tokyo for my family vacation.

Japan is a place known for many good things. It is the land of Toyota, their cars invading all corners of the glode for economy and quality. Coming out from Toyota came is LEAN manufacturing or the Toyota Production System (TPS) that is now finding its way into healthcare - transforming healthcare process and improving care delivery. Japan is also the land where everything hyper organised and gifts are wrapped so nicely that one would wonder whether to forgo the content at risk of spoiling the gift wrap. When one thinks of politeness and courtesy, the bowing Japanese certainly comes first to mind. These coupled with the reputed service from Disneyland delivers a quite prompting in my heart that I should carefully observe as I travel through the land and see what I can learn about the Japan brand of service.

I hope to document my learning (and my enjoyment too) daily...

For now, the blackberry is switched off, and my vacation psyche switched on.

Saturday, November 15, 2008

Creating Awareness about Extreme Drug Resistance to TB via Photography

Photographer James Nachtwey's picture depiction of the suffering around the world due to TB...

Watch the video on Youtube...

Thursday, November 13, 2008

I will never be able to look at the White tiger at the Singapore Zoo the same way again...

On 29 October 2008, I visited the zoo and posted a video of one of the 3 white tigers pacing up and down a set of rocks. I reflected about them being a source of power or a heap of bones and meat...

Today, a malaysian contract worker, apparently in a suicide bid jumped into the White Tiger exhibit and was devoured by the 3 tigers. He died apparent from bites sustained on his neck and I dare not imagine the condition of his body after the attack. The pool must be filled with blood and the white fur of the white tigers stained with red deep especially around the mouth. I certainly hope that there were no children there during the incident because it can leave a deep emotional scar.

Indeed, the tigers are a source of power but as of now their beauty has been tainted by the image of murderers. I am now less sympathetic when they are reduced to heaps of bones and meat!

Wednesday, November 12, 2008

Laughter the best medicine...


What's the difference between a STAR performer and an AVERAGE performer? Plenty...

1000% is the answer for complex jobs and responsibilities - reported the Businessweek in their article "Obama First Proirity - Hiring the Right people". Here is the article by Claudio Fernández-Aráoz:

With Barack Obama moving to take charge as the President-elect of the U.S. in the middle of the worst financial crisis since the Great Depression, Job No. 1 for him is to make great people decisions when picking the members of his team. No other single, controllable factor will have a larger impact in the coming years over the U.S., and to a significant extent, around the globe.
Why is this so important? One answer is because the jobs at those upper reaches are so complicated. This may sound obvious, but consider the following. The more complex the job, the greater the spread between average performance and outstanding performance. On average, a "star" assembly line worker is 40% more productive than his or her peers. But when it comes to a high-complexity job such as a computer programmer or an account manager in a professional services firm, a star performer may be as much as 1,000% more effective than an average performer. What does this suggest about, say, an average Secretary of Treasury vs. a stellar Secretary of Treasury?

Unfortunately, finding great people isn't easy. The late Peter Drucker believed that the typical executive bats no better than .333 when it comes to making hiring and promotion decisions. That's more than good enough for baseball; it's nowhere near good enough for running a great company—or country.

Why do we fail at people decisions two times out of three? The main problem is that we are asking an old brain to do a new job. Our hardwired brains—designed to help us survive as nomadic hunter-gatherers—don't mesh well with our current challenges. In particular, a series of emotional biases, hidden deep in our unconscious minds, work against us, and unfortunately, they bear strongly on our people decisions.

For example, because of our hard wiring, we procrastinate about people decisions. We exaggerate the risks of change and disregard the opportunity cost of the status quo. And when we do act, we are inclined toward snap judgments. Research from the neurosciences has revealed that we form an initial unconscious impression of the person in front of us at lightning speed—on the order of one-twentieth of a second—but unfortunately, such impressions are long on snap and short on judgment. On a more conscious level, we are inclined to place far too much value on brands and labels (such as educational background or political affiliation) and far too little on substance.

If I had the ear of the President-elect, I'd suggest four steps:
• Do the hard work.
There is enormous pressure on incoming Administrations to staff up and hit the ground running. The "First 100 Days" clock is ticking from Day One. Everyone is looking for results within the first months, or even weeks, of taking charge. To make things worse many people believe that, if the President fails to achieve a lot within the first 100 days, he will never be able to regain credibility. This is dead wrong. The best CEOs take significant amount of time to set up the right teams and together with these teams make the right diagnostics—before jumping into crucial change initiatives. Even when taking charge of troubled companies, the best take their time to make sure that they are fighting the right battles in the right ways. When making people decisions, they don't just bring rapidly on board the people they know—or those they owe favors. Rather, the best corporate leaders cast a wide net and conduct in-depth assessments of the strongest looking candidates. The new President and his people-finders have to approach this all-important process with the highest level of attention, discipline, and patience. Go slow to go fast.

• Use multiple screens.
Relevant experience is a good initial screen, since there's no time for on-the-job training. (Ask Ben Bernanke and Hank Paulson.) Move from there to integrity. (If they're not squeaky clean, they're out.) Then look to competence: Were they any good, as they amassed all that experience? Finally, look beyond the standard measures of intelligence, such as I.Q., test scores, class ranks, and the like. You need to scrutinize the ways in which leaders have managed themselves and their relationships with others. This is by far the most important predictor of success or failure in any senior leadership role.

• Worry about the team.
It's not all about the great Secretary of Whatever. It's also about his or her lieutenants—and their lieutenants. Remember that outstanding teams require not only strong skill sets, but also significant diversity to avoid the risks of herding and group-think. The ability to pick great people with complementary skills should be a key factor for success for the new President-elect as well as for each of his key appointments.

• Invest in the political positions as well as in the permanent professional staff.
Too many politicians overvalue the former and undervalue the latter. But you just can't build lasting greatness without staffing the Administration with competent professionals at all levels, including young staffers with potentials who will continue strengthening the country long after the Presidential mandate is over. At the time of its independence, Singapore's founding fathers realized that without natural resources or scale its only way to grow was to invest in talent. They systematically have attracted the best people, both to key political appointments and its exemplary civil service, for over four decades now. As a result, since 1965 Singapore's gross national product per capita multiplied by a factor of eight in real terms (constant dollars), while that in the U.S. multiplied by a factor of less than three.

Navigating the financial storm is just one of the many challenges the new President will face. Ensuring that the U.S. can compete successfully in a global marketplace populated by increasingly skilled national rivals is another. Yet of all the challenges, making the right decisions about people is among the most important. If President-elect Obama fails at that, his ability to succeed in anything else is severely compromised.

Claudio Fernández-Aráoz is a partner and member of the Global Executive Committee of Egon Zehnder International, the global executive recruiting firm. He is the author of Great People Decisions: Why They Matter So Much, Why They Are So Hard, and How You Can Master Them

Tuesday, November 11, 2008

More Healthcare Executives and Professionals will be in demand in the next few years

Channelnewsasia carried news that Minister Khaw has announced that the new Jurong General Hospital will be brought forward to capitalise on expected lower construction costs while at the same time add capacity to public healthcare.

With Parkway's Novena Hospital coming on stream by 2011, Khoo Teck Puat Hospital by 2010 and now Jurong General Hospital before 2015, demand for healthcare executives and professionals will likely escalate. This will be a great time for talents to consider a career in healthcare...but need to be patient as healthcare is a complex business and need time to learn the trade, establish credibility and grow!

Budgeting in an Academic Medical centre/ Health System

Hospitals are currently into their budgeting cycles. The issues and discussions on how to apportion limited resources to support the inter-related mission of service, education and research are interesting but difficult.

Hospitals have a duty to provide good care to their patients (service mission) but at the same time (as importantly) to train the next generation of healthcare professionals (Education) and research new frontiers in medicine and care delivery (Research).

Paul Levy, CEO of Beth Israel Deaconess Medical centre, an academic medical centre affiliated to Harvard Medical School, discusses in his blog www.runningahospital.blogspot.com his views on constructing a hospital budget. Check it out, including the comments that were posted. I find this reflection helpful.

Sunday, November 9, 2008

Beginner Big Camera Education...So interesting

I think the answer to my question of my Nov 2 blog entry "Am I a Big camera Kind of Guy?" is likely a YES!

There are many photography enthusiast out there who are very keen to help. When I last spoke to a colleague in GPO, he forwarded me an email "all things photograhies" with links to review sites and where are the better places to buy DSLRs at good prices and service.

There is a site DPreview.com that is such a fabulous site for Big Camera Education. I just finished reading a page about what to look out for when choosing a DSLR. No wonder one advice that was doled out to me was "be prepared to spend lots of time and money on books and accessories!" Currently, I think I am sold on Canon but still working through the precise model. Better work fast so that I can hint to my wife about my Christmas Present :-)
Suggestions on other models anyone?

Why does my stomach growl when I am hungry?

This can be so embarrassing sometimes! Now why does that happens?

You can find the answer through a patient education video on the Beth Israel Deaconess Medical centre.

There are other interesting health questions and answers as well. Check it out!

Too many Cooks Spoil The Broth

Processes fail and suboptimise often because clarity of roles and responsibilities is missing.

Too many cooks can indeed spoil the broth. A process where many different parties feel that they are responsible often pull in different directions, result in wastage of resources, damages to relationship and worst of all the customer (or Patient in healthcare) suffers.

A useful framework is RASCI:

Responsible - Who makes it happen?
Approve - Who needs to approve this?
Support - Who provides the expertise?
Consult - Who can add value?
Inform - Who needs to know?


There should only be one person Responsible, and any more than one Approver can be troublesome and for me raises alarm bells. For the other roles it is perfectly fine to have more people.

I have been thinking about how to streamline certain roles in the hospital for better effectiveness and have found the framework to be very helpful.

Friday, November 7, 2008

One Step at a Time...

Take one step at a time... A timeless advice from my daughter Brittney when she was 4-year old. At that time, I was troubled about something at work and was wondering how I could complete my assignment on time when I turned to Brittney. She said in the melody of a song from Barney, "One step at a time, One step at a time..." How right she was and still is!

There is no need to rush nor to procrastinate, just take one step at a time.

One of my friend on facebook posted a youtube video entitled "One Step at a Time" by Jordin Sparks. The post attracted my attention, reminded me of my daughter and captivated me with a nice song... listen to it and pay attention to the lyrics. Be encouraged...

Someone needs to read this...

Got this spam in my mailbox but thought that it is a good reminder for some of us some time somehow... Get out of "downward spiral"

Do you know what it means to be caught in a downward spiral? Well, it starts with a belief. Let's say you believe you're not good at something. Now, if you expect to fail, you don't use much of your potential, do you? You don't take action that is confident, assertive, or energized. And what kind of results comes from this kind of attitude and this kind of action? Pretty dismal ones, right?

These dismal results reinforce the original belief that you're no good at it. Which in turn produces even less effort and even worse results - and down and down you go. This is a classic downward spiral in which a negative belief breeds failure, which breeds an even more negative belief, and so on.

People who are chronically unhappy and who live hopeless, helpless lives have been without the results they want for so long, that they no longer believe they can produce good results, no matter what they do. They become trapped in a downward spiral, and after a while they can't even conceive of a way out. They see others doing well, but they attribute it to luck or circumstances.

The interesting thing is, this can happen to individuals, teams, departments, entire organizations, even entire countries. And, with the media as pervasive and accessible as it is these days, it could happen to far more than one country. Look at how fast global financial markets have reacted in the last few weeks.

There are ways to interrupt downward spirals and reverse their direction. It is never too late to start.

Thursday, November 6, 2008

4 Types of people in the World, who are you?

There are 4 types of people in the worlds.

The 1st Type, we all love. They "make the world go round". They just make the world a better place for everyone and are a joy to work with. You know, when you are with them.

The 2nd Type, well... They just "Watch the World go Round". As the world spins, they simply watch and marvel. They neither make the world better off nor worst off... they simply watch. Even when they see that something needs to be done, they do not take any action.

The 3rd Type, is sightly "blurr". They "dont know that the world is going around". Obama has been elected the first black President of the United States and Type 3 would ask "who is US Prime Minister?"

The 4th Type, I hate the most. They not only do not make the world go round but goes around "Cursing at the way the world is going around." When the world turns to the left, they criticise... when the world spins to the right, they mock at the right view...when others do something right, they will make them feel bad and drive others into inaction. All in, they just make the world a worst off.

What do I do...

I do as Steven Covey say, begin with the end in mind...

First FIRE the Type 4 and banish them from my universe!

Identify the Type 3, train and educate them and try to change them to Type 2

Type 2's with good attitude may be changed into Type 1 with coaching and motivation

Promote and develop the Type 1's. We all need more of them!

Which type are YOU?

Tuesday, November 4, 2008

Creative Mathematics...

Ready for some laughs? I received an email showing examples of actual answers provided by students. This is my personal favourite - why didn't I think of that! The could be the beginning of creative accounting when the syudent grows up...

Sunday, November 2, 2008

Am I a Big Camera kind of Guy?

Deep within me, I sense there is a passionate photographer amidst a busy healthcare executive.

Great photography turns me on. Today, after church service, and I was walking with my family to the carpark at the millenia when we came across an exhibit of underwater photography. The vivid colours of the sea creatures and of the sea entralled me. I marvelled at all the details that were captured under the skillful hands of the photographers and wished i could do the same. There is a sense of aesthetics and an immense interest to be able to capture life as it happens and hold it for eternity for me.

So far, I am a small camera kind of guy. I tot a Sony Cybershot T30 - nice camera, handy and occasionally i get some nice shots. I wonder whether I should go for a digital SLR - the Big camera, but I am not sure if I am the Big Camera kind of guy. What does it take to sustain a hobby in photography? Comments and suggestions welcomed...

Saturday, November 1, 2008

Healthcare Workers Do not Deserve To Be Abused

Today, I received emails from a few staff who were at their wits end.

A patient has repeatedly demanded that he be given meals of his choice, outside of the menu choices available in the hospital. Each time, he would verbally abuse my staff and ordered them to even leave the hospital grounds to go to very specific food joints to get the food that he wanted. When he asked for chicken nasi bryani and was served from the hospital kitchen, he complained that the rice was not the correct byani grade and ordered my staff to go across the road to buy from the coffee shop. When staff stood firm with him, he threatened to jump, if he did not get his way.

Every meal time has become a terrible nightmare for hospital staff. Do healthcare workers deserved to be abused like this? I do not think so, even if they are full paying patients. We will stand firmly behind our staff, so that they have all the support that they need to do a good job looking after patients who need their fullest attention.

The incidence of abuse of healthcare workers has increased sharply in recent times. During the last 15 years I've spent in healthcare, I seen all kinds of abuses staff have been put through. Patients would go to the vending machine to buy a hot cup of milo just to throw it on a staff. A next-of-kin of a patient removed a drip pole from the bed to attack staff. Verbal abuses extend to making threats of harm to staff, threats to harm their career, and repeated shouting at staff during every visit causing severe mental anguish to staff.

Such abuses to healthcare workers cannot be tolerated. No one deserved to be abused verbally or physically, let alone healthcare workers who worked hard to care for the sick among us. There are 2 problems when we decide to respond to such abuses:

1. Our staff have been very compassionate even though they were abused. Each time, they have decided that they do not want to pursue the matter and would like to let the matter rest. They would like to give the benefit of doubt to the patient, i.e. that their aggression was the result of their illness and hence not wilfull.

2. Since the restructuring of public hospitals, healthcare workers are no longer considered "public servants". Under the Penal Code, voluntary causing hurt/ grievous hurt to deter a public servant from their duties is a seizable offence under Section 332 and 333 SHALL carry an imprisonment term or fine or caning. The aggressor physically abusing a public servant may be arrested by the police and be charged in court. However, after restructuring, physically abusing a healthcare worker is an offence under Section 323 of the Penal code, but it is a non-seizable offence. In this case, the victim (ie healthcare workers) or the hospital will have to go to court to pray for a summons before taking the aggressor to court, and the offence is normally one where the police will not arrest the aggressor (ie non-seizable).

Healthcare workers working in public hospitals are performing public duties and should be better protected. Perhaps, the stance adopted by the AG when road bully became a problem earlier in Singapore should be considered. Even though road bully cases typically fall under Section 323 of the Penal code (voluntary causing hurt), the decision was taken that all road bully cases will be prosecuted in court by the police where the facts are substantiated. Not surprisingly, the problem of road bullies has decreased significantly. I can imagine that the number of cases of abuse of healthcare workers will follow a similar downward trend when similar legal stance is adopted.

Hospitals are not perfect and occasionally we goof up. Tell us so that we will improve. But, our staff do not deserve to be abused.