The Agency for Care Effectiveness (ACE) is the national health technology assessment (HTA) agency in Singapore, established by the Ministry of Health in 2015 to drive better decision-making about clinically effective and cost-effective patient care.
"The current challenging economic outlook is a timely reminder of the need to ensure sustainability, not just for ourselves but for future generations…. Therefore, we need to choose care that is appropriate to needs, so that we can make the best use of our limited resources.
Emerging healthcare technologies are becoming increasingly expensive and we need to ensure that the outcomes derived from these technologies are commensurate with these costs… recently set up the Agency for Care Effectiveness… to expand our capacity in evaluating the clinical and cost effectiveness of health technologies… and develop guidance to… help patients, caregivers and physicians make more informed decisions on treatments..."
To improve patient outcomes and healthcare value through health technology assessment
To issue objective and credible healthcare guidance
To enable stakeholders to optimize health benefits within finite resources
To advance the values of evidence-based practice and appropriate care
Scientific Excellence. Collaboration. Impacting Lives.
Advancements in medicine and the development of new health technologies offer the potential for improved healthcare in Singapore. However, some technologies, while costing more, may not offer significant advantages for patients. ACE aims to support policy-makers, clinicians and patients to make better decisions through health technology assessment (HTA).
ACE systematically evaluates health technologies, such as drugs, devices and medical services, using established HTA methods which take into account expert opinion and scientific evidence. The evaluations compare health technologies with alternative treatment options to identity interventions that are clinically effective and offer the best value for patients.
These evaluations equip policy makers with objective and credible evidence to guide subsidy decisions on healthcare treatments. In addition, ACE’s work will help healthcare institutions, doctors and patients in Singapore make better informed decisions on tests and treatments appropriate for their conditions.
From May 2017 onwards, ACE will be publishing guidances, which outline recommendations on the appropriate use of the health technologies evaluated, provide a brief summary of the rationale for the subsidy decision, as well as the key clinical and economic evidence which informed the recommendations. The publication of guidances increase the level of transparency of decision-making, and is consistent with how subsidy decisions are communicated by other HTA agencies internationally. ACE will also be publishing 'Appropriate Care Guides', which are concise sets of recommended care practices and pathways aimed at improving selected areas of therapy.
Our logo depicts the three core groups of stakeholders — policy makers, clinicians and patients — working closely with us to achieve our mission of driving informed, impartial and sound decision-making in healthcare. The intertwining figures symbolise the synergistic efforts of the Agency and our stakeholders in improving patient outcomes while keeping healthcare affordable for all.
The Agency for Care Effectiveness is a part of the Ministry of Health with an advisory council appointed by the Minister to steer the Agency’s long term development.
The Agency is led by our executive director, Dr Daphne Khoo, with two main branches, the evaluation branch headed by Mr Ng Kwong Hoe; and the planning and policy branch, headed by Ms Elaine Teo.
The evaluation branch conducts health technology assessments and develops guidance for drugs, devices and medical services, as well as appropriate care guides. They are also the secretariat for the relevant advisory committees in MOH.
The planning and policy branch manages corporate planning and administration, local and international collaborations for the Agency’s development, and is the secretariat to ACE's council. The branch also manages the engagement with policy divisions in the Ministry and external stakeholders to facilitate the adoption of ACE's guidances.
The MOH Drug Advisory Committee (DAC) is responsible for providing evidence-based recommendations to MOH so that decisions for public funding of drugs are made in a fair, efficient and sustainable manner.
The DAC’s terms of reference:
The MOH Medical Technology Advisory Committee (MTAC) is responsible for providing evidence-based recommendation to MOH so that decisions for public funding of medical technologies are made in a fair, efficient and sustainable manner.
The MTAC's terms of reference:
The ACE Council was formed as an advisory body to steer the Agency’s development to drive appropriate healthcare in Singapore. Led by an eminent senior clinician, the Council comprises well-respected senior medical specialists and professionals across a range of disciplines.
The combined expertise and experience of Council members in medicine, research and academia, health economics, legal, social policy and government policy, present a holistic perspective to guide the Agency's development.
The Council's terms of reference:
The International Advisory Panel (IAP) plays a critical advisory role to ACE to ensure that our processes and methods are in line with international standards, and to offer expert perspective on the global trends and developments in HTA to inform ACE’s development. It comprises of senior overseas experts who have served in leadership roles of reputable HTA bodies. IAP members are appointed for a 2-year term starting from 1 Mar 2017 to 28 Feb 2019.
The IAP's terms of reference:
Professor of Clinical Epidemiology, School of Public Health University of Sydney, Australia
Coordinating editor of the Cochrane Kidney and Transplant Group
Member of Pharmaceutical Benefits Advisory Committee (PBAC) & Medical Services Advisory Committee (MSAC)
Professor Emeritus, McMaster University, Canada
Founding Director, Program for Assessment of Technology in Health
Involved in numerous research projects with Canadian Agency for Drugs and Technologies in Health (CADTH)
Professor, Director of the Centre for Health Technology Evaluation
National Institute for Health and Care Excellence (NICE), United Kingdom
Honorary Professor of Health Technology Assessment at the University of Manchester, UK
Professor, Chair in Health Economics, School of Medicine
Director, Centre for Applied Health Economics (CAHE), Griffith University, Australia
Member of Queensland Policy and Advisory Committee on New Technology (QPACT)
Conducts health technology evaluation for Pharmaceutical Benefits Advisory Committee (PBAC) & Medical Services Advisory Committee (MSAC)
Professor, Centre for Health Economics University of York, United Kingdom
Member of NICE Technology Appraisal Committee between 2004 and 2008,
NICE Public Health Interventions Advisory Committee between 2006 and 2009
Currently member of NICE Diagnostics Advisory Committee
Professor, Deputy Vice-Chancellor (Research)
Acting Executive Dean, Faculty of Medicine, The University of Queensland, Australia
Chair of Commonwealth Medical Services Advisory Committee (MSAC)
Member of the Pharmaceutical Benefits Advisory Committee (PBAC)
The Agency for Care Effectiveness (ACE) is Singapore’s health technology assessment (HTA) agency. We have a dynamic team with diverse skill sets and talents, comprising both local and international members. We are committed to delivering robust HTA, enabling the optimal use of healthcare resources and advancing the values of evidence-based medicine and practice. Our evaluations, guidance and care guides help policy makers, healthcare professionals and providers, and the public make better decisions in healthcare.
We are looking for people who strive for scientific excellence, and who seek to create value and impact lives. We are also looking for individuals who are analytical, resilient and forward-thinking.
Interested in joining us as we shape Singapore’s healthcare system towards driving better decision-making in healthcare?
Send your CV to firstname.lastname@example.org if you have training and/or experience in the following areas:
Alternatively, please go to www.mohh.com.sg/careers/jobs@mohh for specific job openings to kick-start your career in ACE!