Transforming Hospital Leadership for a Value-Based Future

with SMU Executive Development's Hospital Management Programme

Across healthcare systems in Asia, hospital leaders are confronting a structural tension  from the traditional healthcare models.

The Challenge

Across healthcare systems in Asia, hospital leaders are confronting a structural tension from traditional healthcare models that are built on a fee-for-service foundation.  While effective in expanding access, they prioritise activity over outcomes, leading to unintended consequences such as over-testing, fragmented care delivery, rising costs, and inconsistent patient outcomes.

At the same time, the healthcare landscape is being reshaped by converging structural forces: growing demand driven by ageing populations, chronic disease, and more empowered patient expectations; ongoing supply-side pressures from manpower constraints and operational inefficiencies; and the rapid scaling of transformative health technologies, from AI and telehealth to wearables and genomics.

Yet many hospital systems remain organised around what providers do, rather than what patients need. This creates a fundamental question for healthcare leaders:

How do we redesign healthcare systems to deliver better outcomes that are more efficiently, more equitably, and at scale?

We need to move beyond volume to value; thus the shift toward Value-Based Healthcare (VBHC) popularised by Michael Porter and Elizabeth Teisberg is essential. It demands a rethinking of strategy, financing, operations, and leadership itself.

We need to move beyond volume to value; thus the shift toward Value-Based Healthcare (VBHC) to build high-value, patient-centred healthcare systems.

The Goal

In order to build high-value, patient-centred healthcare systems, senior healthcare leaders set out to address a set of deeply interconnected challenges:

  1. Driving value and quality simultaneously: Improving clinical outcomes, patient safety, and experience while eliminating waste and unnecessary interventions;
  2. Designing value-creating strategies: Moving from siloed service lines to integrated, patient-centred care pathways;
  3. Capturing value through financing and reimbursement: Transitioning from volume-based payments to models such as bundled payments and outcome-based funding;
  4. Ensuring affordability and accessibility: Building well-resourced systems that deliver high-quality care across all segments of society;
  5. Leveraging technology meaningfully: Integrating digital health innovations not as add-ons, but as enablers of better care and system-wide efficiency.

Ultimately, the goal was not incremental improvement but a system-level transformation toward sustainable, value-driven healthcare.

The Solution

To address these challenges, Programme Director Dr Markus Karner designed the transformative Hospital Management Programme grounded in the principles of value-based healthcare. Drawing on an integrated curriculum, the programme combines academic rigour with real-world application, equipping healthcare leaders with both conceptual frameworks and practical tools. 

Notably, the curriculum incorporated bespoke Asian case studies and real-world insights from healthcare leaders, ensuring relevance to regional contexts. Participants also engaged in interactive discussions, peer learning, and applied problem-solving. The programme’s multi-dimensional learning approach focuses on six critical pillars:

Sustainable Healthcare Models

1. Sustainable Healthcare Models: Participants will explore how to design healthcare systems that balance clinical excellence with financial sustainability, using strategic tools to align outcomes with costs.

Value-Based Healthcare Strategies

2. Value-Based Healthcare Strategies: By adopting value-driven outcomes (VDO) frameworks to measure results, we analyse care delivery processes to improve patient experience and outcomes, reduce costs, waste and inefficiencies, and enhance patient journeys across the continuum of care.

Healthcare Operational Excellence

3. Operational Excellence: Participants discover the keys to optimising operational efficiency in healthcare by navigating the complexities of healthcare supply chain management to explore resilient-building strategies.

Technology and Innovation in Healthcare

4. Technology and Innovation in Healthcare: The programme addressed the growing role of AI, digital health, and data systems in transforming care delivery, emphasising how technology can enable, rather than complicate, value creation. 

Community, Wellness and Advocacy

5. Community, Wellness and Advocacy: We discuss the topics of community-based interventions and preventive healthcare strategies, aimed at addressing local health needs and to promote healthier lifestyles.

Leadership and Systemic Transformations

6. Leadership and Systemic Transformations: 
Transformation is as much cultural as structural. So, the programme emphasised leadership, mindset shifts, and system-wide thinking, where leaders play a pivotal role in enhancing patient outcomes and optimising healthcare delivery.

The Impact

The true impact of the programme is reflected in how leaders translate learning into meaningful change within systems, teams, and ultimately, patient lives.

Dr Yasunobu “Sunny” Iwasaki

One of our participants applied a more structured approach to redesign care delivery; moving from siloed processes to coordinated, patient-centred pathways.

After participating in the programme in 2005, Dr Yasunobu “Sunny” Iwasaki started an Orthopedic specialty hospital in Kobe, Japan with several doctors and less than 20 staff.

A case study on strategic organisation alignment of Southwest Airline in the course inspired me to build up a boundary-less, flat and network type organisation structure. The culture was instilled in all our hospital staff to firstly consider each other as one and then see patients’ health recovery as priority regardless of their position.

Since the start up, I have been continuously focusing on the community outreach to establish a mutual relationship with the people from this town.”
— Dr  Yasunobu “Sunny” Iwasaki, Anshin Hospital Kobe, Japan

Dr Liu Jiaying

A key shift was moving upstream to address conditions earlier through awareness, screening, and community engagement. One participant initiated partnerships with primary care providers and community organisations, enabling earlier detection and faster access to specialist care.

Dr Liu Jiaying from Ng Teng Fong General Hospital set up a Comprehensive Hearing Loss and Hearing Implant Service in West Singapore to support elderly patients. 

Many patients dismissed their condition as part of ageing. Overcoming this apathy required us to go beyond the hospital and engage directly with the community. To increase hearing loss awareness, I teamed up with Grassroots Community centres to bring hearing screening to the community.”
— Dr Liu Jiaying, Ng Teng Fong General Hospital, Singapore

At its core, the impact is most powerfully seen in individual patient journeys. These moments underscore a deeper truth: value-based healthcare is not just about efficiency or cost; it is about restoring dignity, independence, and quality of life.

After regaining her hearing, one patient who had withdrawn from social life found the confidence to reconnect with her work, her family, and the world around her…. Another patient, who struggled to communicate with his ill spouse, was finally able to hear her again. That changed not just his condition, but his role as a caregiver.”
— Dr Liu Jiaying, Ng Teng Fong General Hospital, Singapore

Dr. Asawin Puwatanasan

The programme fostered a strong network of healthcare leaders across Asia, enabling cross-learning and cross-pollination of ideas between public and private sectors and diverse healthcare systems.

By convening a diverse cohort of healthcare leaders, the programme enabled participants to step outside their institutional and national contexts.

The programme has helped me to widen my horizons to understand more about other health organisations and the healthcare systems in the region. The opportunity to network with both public and private sectors in healthcare is highly valuable.”
—Dr. Asawin Puwatanasan, Assistant Hospital Director, Bangkok Hospital, Thailand

Watch Dr. Asawin's testimonial here

This exposure accelerated problem-solving by allowing leaders to borrow, adapt, and scale proven ideas across borders, strengthening their ability to design more resilient and future-ready healthcare systems.

 

 

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The ultimate goal of hospital management will always be to align purpose with economic feasibility in a sector that must remain 
committed to human values."

Dr Cheong Wei Yang
Vice Provost (Strategic Research Partnerships)
Singapore Management University, 
Senior Adviser (Health Economics), 
Ministry of Health, Singapore

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