[AVBC 2025] Reduce the Waiting Time to Prosthesis Receipt After Major Lower Limb Amputation by 20%
Care Process & Redesign
Appropriate & Value-based Care Conference
SingHealth
6 November 2025
Major lower limb amputation compromises patients independence and autonomy, making mobility a common challenge. The intervention achieved the target of reducing waiting time for prosthesis by more than 20%, demonstrating the effectiveness of the.
Year Submitted: 2025
Published Date: 06 November 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Productivity, Time Saving, Access To Care, Waiting Time
About this Content
Aims
Major lower limb amputation compromises patients independence and autonomy, making mobility a common challenge. A prosthesis restores mobility and increases independence in Activities of Daily Living (ADLs). Studies show that a shorter time interval between surgery and prosthesis provision results in more active and sustained recovery.
Background
Interventions were implemented in PDSA cycle 1, including the creation of an amputee patient list under Microsoft Teams, prosthetic part prognostication at week 3, and the creation of a funding triage workflow.
Methods
Post intervention, there was a significant reduction in the median waiting time from 263 days to 199 days, achieving a 24% improvement.
Results
Standardised work processes greatly reduced the average length and variability in time to receipt of prosthesis.
Conclusion
The intervention achieved the target of reducing waiting time for prosthesis by more than 20%, demonstrating the effectiveness of the implemented strategies.
Lessons Learnt
Standardised work processes greatly reduced the average length and variability in time to receipt of prosthesis.
Keywords
Prosthesis, Amputation, Rehabilitation, Waiting Time
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Sengkang General Hospital |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Nursing, Rehabilitation Therapy |
Project Lead(s) | Dominic Chen |
Project Member(s) | Enhan Ong Siew Yuk |
Connect with this contributor!
Dominic Chen - ong.siew.yuk@skh.com.sg