A "Swift" Approach to Streamline Workflow for Intervention of Non-Functional or Thrombosed Dialysis Access
Care Process & Redesign
Singapore Healthcare Management Congress
National Healthcare Group
National University Health System
31 December 2021
Reduce the length of stay for ESKD patients with vascular access malfunction to ≤5 days. Streamlined workflow improved LOS, reduced costs, and enhanced patient care for vascular access interventions.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Value Based Care, Length Of Stay
About this Content
Aims
Reduce the length of stay for ESKD patients with vascular access malfunction to ≤5 days.
Background
Workflow delays extended LOS to 7 days for ESKD patients due to vascular access issues.
Methods
Lean methodologies: Value Stream Mapping, Rapid Improvement Events (RIE), and workflow redesign.
Results
Median LOS reduced from 7 days to 5 days; cost avoidance of $243K annually; improved workflow satisfaction.
Conclusion
Streamlined workflow improved LOS, reduced costs, and enhanced patient care for vascular access interventions.
Lessons Learnt
Streamlined processes reduced delays and unnecessary temporary access; multi-disciplinary teamwork was critical.
Keywords
Workflow Redesign, Length of Stay, Quality Improvement, Value Stream Mapping, Nephrology, Dialysis, Rapid Improvement Event
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System, National Healthcare Group |
Organization(s) Involved | National University Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Neonatology |
Project Lead(s) | Chua Horng Ruey |
Project Member(s) | Crystal Soh Harn Wei |
Connect with this contributor!
Dr Chua Horng Ruey - singaporehealthcaremanagement@singhealth.com.sg
Project Attachment
99_NUH_SHM_2021_A_Swift_Approach_to_Streamline_Workflow_COMBINED.pdf