A Nurse-Led, Physician-Supervised: One-Stop Rapid Access Chest Pain Clinic for Expedited Diagnosis of Coronary Artery Disease
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2019
Reduce costs to the system for patients with onset of chest pain by 40%. Rapid Access Chest Pain Clinics are scalable solutions for cost savings and timely diagnosis.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Access To Care, Waiting Time, Productivity, Time Saving, Cost Saving, Value Based Care, Patient Satisfaction
About this Content
Aims
Reduce costs to the system for patients with onset of chest pain by 40%.
Background
Long wait times and high costs for diagnosing chest pain led to inefficiencies and overcrowding.
Methods
Implemented a nurse-led, cardiologist-supervised clinic with single-visit diagnosis combining tests and consultation.
Results
Cost savings per patient were $371 for polyclinic referrals and $754 for emergency department patients.
Conclusion
Rapid Access Chest Pain Clinics are scalable solutions for cost savings and timely diagnosis.
Lessons Learnt
A nurse-led, cardiologist-supervised model is cost-effective, improves patient experience, and reduces time to diagnosis.
Additional Information
Expanded clinic setup planned for other polyclinics in 2019.
Keywords
Cost Savings, Chest Pain, Nurse-Led, Patient Efficiency, Value-Based Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Cardiology |
Project Lead(s) | Pipin Kojodjojo |
Project Member(s) | Christina Khoo |
Connect with this contributor!
Toh Lay Cheng - lay_cheng_toh@nuhs.edu.sg