[AVBC 2025] Increasing Value in Postoperative Care Through A Novel ERAS Ward Concept
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
21 November 2025
The aim is to create an environment that promotes adherence to postoperative ERAS components, particularly early nutrition. The ERAS ward concept is a cost-effective way to deliver value to patients and staff for postoperative care.
Year Submitted: 2025
Published Date: 21 November 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Productivity, Cost Saving, Value Based Care, Safe Care, Adherence Rate, Access To Care, Length Of Stay, Risk Management, Adverse Outcome Reduction
About this Content
Aims
The aim is to create an environment that promotes adherence to postoperative ERAS components, particularly early nutrition and mobilization, to facilitate a return to normal function.
Background
High compliance with ERAS interventions improves surgical outcomes and reduces health costs, but achieving this remains a universal challenge.
Methods
Specialized training enhanced staff confidence and motivation, empowering ward nurses to initiate nutrition and mobilization soon after surgery. Nursing booklets and procedure-based checklists ensured increased protocol adherence and patient safety. Infrastructural enhancements, including a walking track, communal dining facility, TV, and reading corner, were introduced to encourage ambulation, social interaction, and early independence.
Results
3x improvement in early oral intake. 2x improvement in early mobilization. Further 33% 50% reduction in length of stay. Increased staff and patient satisfaction. $480,000 savings through reduction in complications, high dependency bed use, and length of stay.
Conclusion
The ERAS ward concept is a cost-effective way to deliver value to patients and staff for postoperative care. This model of care can be replicated and scaled to other wards for greater clinical and financial impact in perioperative care.
Lessons Learnt
Improved compliance by 10%, reduced complications from 60 to 39, and reduced median length of stay from 5 to 4 days.
Keywords
ERAS, postoperative, care, compliance, mobilisation, nutrition, cost effective
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Surgery, Physiotherapy, Nutrition ＆ Dietetics |
Project Lead(s) | Karen Chan KW |
Project Member(s) | Vera Lim QY |
Connect with this contributor!
Karen Chan Ka Wing - karen.kw.chan@nhghealth.com.sg
Project Attachment
909_TTSH_AVBC_2025_Increasing_Value_in_Postoperative_Care_Through_A_Novel_ERAS_Ward_Concept.pdf