[AVBC 2025] Transforming Total Knee Replacement Care Through a Systematic Value-Based Care Methodology
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
29 December 2025
To transform healthcare delivery in Total Knee Replacement (TKR) care through a systematic value-based care methodology. NHG's systematic VBC methodology has successfully transformed TKR care delivery, demonstrating simultaneous improvements in outcomes.
Year Submitted: 2025
Published Date: 29 December 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Productivity, Length Of Stay
About this Content
Aims
To transform healthcare delivery in Total Knee Replacement (TKR) care through a systematic value-based care methodology.
Background
National Healthcare Group (NHG) developed a standardized value-based care (VBC) methodology to enhance operational efficiency and patient outcomes in TKR care.
Methods
Comprehensive care path mapping, data analytics framework, and targeted interventions including Enhanced Recovery After Surgery (ERAS) care concepts and optimized rehabilitation pathways.
Results
Significant improvements in health outcomes, costs, and patient experience between 2018 and 2024, with a dramatic decrease in average length of stay and increased ambulatory surgery rates.
Conclusion
NHG's systematic VBC methodology has successfully transformed TKR care delivery, demonstrating simultaneous improvements in outcomes, efficiency, and costs.
Lessons Learnt
Cross-institutional collaboration and standardization are crucial for successful implementation of VBC methodology.
Keywords
Value-Based Care, Total Knee Replacement, Patient Outcomes, Operational Efficiency, Resource Optimisation
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital, Khoo Teck Puat Hospital, Woodlands Health, National Healthcare Group |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Orthopaedics |
Project Lead(s) | Tan Tong Leng |
Project Member(s) | Sim Wei Ping |
Connect with this contributor!
Lemuel Lee Yun Jie - lemuel_lee@nhg.com.sg