Head of Data, Innovation & Research · HCA Hospice
Ezekiel Yeo
Yeo Zhi Zheng publishes as ZZ Yeo Singapore
I turn frontline problems in home hospice care into evidence, data systems and better services.
01 · About
Between the ground and the system
I lead the Data, Innovation & Research department at HCA Hospice, Singapore’s largest home hospice provider. I joined in 2017 to build its research function from the ground up, and today I direct a five-person team supporting research and quality improvement across the medical and allied health teams.
I trained in psychology and philosophy at NTU, public health at NUS and health economic evaluation at Duke-NUS. I do my best work where research, operations and building meet. Outside the day job I build local-first apps for iPhone and Mac.
Methods I’ve published with
- Group-based trajectory modelling
- Realist evaluation
- Time-motion study
- Open-label trial
- Retrospective cohort
- Quality improvement
- Phenomenological interviews
- Systematic review
How a project usually runs
-
Notice
Start with a frontline hunch, like nurses swamped by after-hours calls.
-
Study
Turn it into evidence with the method that fits the question.
-
Redesign
Change the workflow with the people who run it.
-
Measure
Check the change held, then publish what we learned.
02 · What I do
Four areas of work
-
Health services research and evaluation
Realist evaluation, trajectory modelling, cohort studies and qualitative work on how community care is delivered.
-
Health economics and real-world evidence
Utilisation and cost analysis, with formal training in economic modelling and health technology assessment.
-
Data and research leadership
Running a department, its budget and its people, and building research capability in a clinical organisation.
-
Quality improvement
Redesigning workflows on the ground, then measuring whether the change held.
03 · Experience
From part-time researcher to department head
-
Jun 2023 – Present
Head, Data, Innovation & Research
HCA Hospice
- Direct the department and a five-person team, including manpower and budget planning.
- Oversee research and quality improvement output for HCA's medical and allied health teams.
- Guide clinical staff through organisation-wide quality improvement, such as a call-management redesign to protect home visits for 30 nurses receiving up to 135 calls a day.
- Built longitudinal analyses of healthcare utilisation to inform resource allocation and step-down care.
- A key architect of Singapore's national framework for compassionate discharge.
- Mentor junior researchers and run the journal club, research workshops and education programmes.
-
Jan 2020 – May 2023
Senior Research and Bereavement Executive
HCA Hospice
- Advised clinical teams on study methodology and analysis across HCA's research portfolio.
- Supported more than 15 published projects and more than 15 conference posters and presentations.
- Developed HCA's bereavement risk assessment and ongoing bereavement support programmes.
-
Jan 2017 – Dec 2019
Research and Bereavement Executive
HCA Hospice
- Joined to build HCA's research capability from the ground up (part-time from January 2017, full-time from August 2017).
- Set up the research pipeline, ethics submissions and participant referral processes.
-
Jan 2014 – Dec 2016
Research Assistant
Department of Psychology, Nanyang Technological University
- Data collection, cognitive testing and data management across multiple sites in Singapore.
- URECA President Scholar Researcher; Silver Award, URECA Poster Presentation Competition (2014).
04 · Research
Selected papers
-
Discharge
Terminal discharge of the imminently dying from hospital to home: a realist evaluation
What makes taking a dying patient home from hospital work, for whom, and under what conditions.
-
Operations
Work patterns and time allocation in multidisciplinary home hospice: a time-motion study
A measured picture of where a home hospice team's working day actually goes.
-
Operations
Protecting 30 frontline nurses' home visits from up to 135 calls a day.
-
Utilisation & cost
Distinct patterns of hospital use among patients on home palliative care, and what predicts them.
-
Utilisation & cost
Evidence that a home-based paediatric programme improved outcomes and reduced costs.
-
18
more papers on caregivers, bereavement, paediatric care and clinical practice.
Browse by theme
05 · Education
Training and credentials
-
2025 · conferred January 2026
Graduate Certificate in Health Economic Evaluation
Duke-NUS Medical School
Distinction (GPA 4.75/5.00). Health economic modelling (A+), advanced health technology assessment methods, health econometrics.
-
Aug 2020 – Aug 2022 · conferred September 2022
Master of Public Health
Saw Swee Hock School of Public Health, National University of Singapore
Highest Distinction (GPA 4.50/5.00). Specialisation in health policy and services. Practicum thesis (A) — a realist evaluation of integrating step-down care into community paediatric palliative care.
-
2013 – 2017
BA (Hons) Psychology, second major in Philosophy
Nanyang Technological University
Second Upper Class Honours. Specialised in research and statistics.
Certifications
- CITI Good Clinical Practice
- Responsible Conduct of Research (Basic)
- Beyond D&I — DIELP Certification (Open 2026)
Tools
- Stata
- SPSS
- Quirkos
- Excel modelling
- Swift
- SwiftUI
- SwiftData
- AppKit
- Git
Languages
- English (full professional)
- Mandarin Chinese (native)
- Malay (limited working)
06 · Beyond the day job
Things I build and write
Apps
All appsLocal-first tools for iPhone and Mac, built in Swift and shipped to the App Store.
Writing
All essaysShort essays on research without a research budget, timing, tools and translation.
- Guerrilla research for community servicesFrontline teams rarely have a research budget. They can still produce research that counts.
- Guerrilla research on par with higher-order evidenceKeep the speed of everyday inquiry, and add enough scaffolding to turn local learning into public evidence.
- Sell shovels in a gold rushThe tools and the process are the prize
- Collaboration is multilingualTranslation as the atomic work of collaboration
Contact
Let’s talk
If you work in community care, health economics, real-world evidence or health technology, I’d welcome a conversation.