A Care Coordination Framework to Reduce Unnecessary Readmissions to IMH
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2023
To reduce unnecessary hospital readmissions through a collaborative care framework between IMH and THK-ADH. Framework co-developed with ADHs proves sustainable and scalable for care coordination.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Productivity, Cost Saving, Manhour Saving, Time Saving, Value Based Care, Discharge Planning, Functional Outcome, Length Of Stay, Utilisation, Risk Management, Adverse Outcome Reduction, Preventive Care
About this Content
Aims
To reduce unnecessary hospital readmissions through a collaborative care framework between IMH and THK-ADH.
Background
ADHs faced challenges managing behavioral issues, resulting in frequent readmissions and prolonged hospital stays.
Methods
Networking, joint case management, and single contact point for complex cases
Results
Reduced readmissions and improved management for ADH residents, achieving care efficiency and staff satisfaction.
Conclusion
Framework co-developed with ADHs proves sustainable and scalable for care coordination.
Lessons Learnt
Regular training and communication improve partnership outcomes.
Keywords
Readmission Reduction, Behavioral Management
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Institute of Mental Health |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Ancillary Care, Medical |
Applicable Specialty or Discipline | Medical Social Workers, Psychiatry, Psychology, Occupational Therapy |
Project Lead(s) | Teo Ginnyueh |
Project Member(s) | Wei Ker-Chiah |
Connect with this contributor!
Ms Teo Ginnyueh - Ginnyueh_TEO@imh.com.sg
Project Attachment
C_496_IMH_NHIP_2023_A_Care_Coordination_Framework_to_Reduce_Unnecessary_Readmissions_to_IMH.pdf