[AVBC 2025] Indicators for Congestive Heart Failure (CHF): A Multi-Pronged, Patient-Centred Approach
Care Process & Redesign
Appropriate & Value-based Care Conference
Others
28 November 2025
Identifying areas of low-value care and deviations from guideline-directed standards of care; Developing national CHF AVBC. This project illustrates how AVBC can drive system-level recommendations to reduce unwarranted practice variation and low-value care.
Year Submitted: 2025
Published Date: 28 November 2025
Tags: Cost Saving, Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Access To Care, Readmission Rate, Patient Reported Outcome Measures, Productivity, Value Based Care
About this Content
Aims
Identifying areas of low-value care and deviations from guideline-directed standards of care; Developing national CHF AVBC recommendations and indicators through a multi-pronged approach.
Background
Singapore's CHF-related 365-day readmission rates are comparable to the worst-performing OECD country in 2022. Direct CHF-related healthcare costs have been rising by 7.9% annually.
Methods
ACE is conducting a situational analysis comprising 4 parts: Appraisal of 11 international guidelines using AGREE-II instrument, Semi-structured interviews with cardiologists and primary care physicians, Convening of a multidisciplinary workgroup, and Semi-structured interviews with patients with CHF.
Results
Guideline-directed care standards and interview insights informed 6 local priorities, including focus on CHF prevention, enabling primary and community care, addressing readmissions, managing decompensations at home, developing an end-of-life strategy, and developing a person-centred performance framework.
Conclusion
This project illustrates how AVBC can drive system-level recommendations to reduce unwarranted practice variation and low-value care. The methodology offers a replicable model for chronic disease care transformation.
Lessons Learnt
The need for a holistic, system-level approach, which examines the entire CHF patient journey, to uncover low-value practices and areas where patient outcomes can be optimised.
Keywords
Congestive Heart Failure, AVBC, Guidelines, Patient-Centred, Healthcare Costs
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | Others |
Organization(s) Involved | Ministry of Health |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Healthcare Administration |
Applicable Specialty or Discipline | Cardiology |
Project Lead(s) | Premikha M |
Project Member(s) | Winnie Ong |
Connect with this contributor!
M Premikha - premikha_m@moh.gov.sg