BraveHeart4ForeignWorkers
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National University Health System
27 January 2026
Increase the proportion of foreign workers with NSTEMI receiving time to cath less than 72 hours by 50% over 6 months. The intervention successfully increased the proportion of foreign workers with NSTEMI receiving time to cath less than 72 hours.
Year Submitted: 2025
Published Date: 27 January 2026
Tags: Quality Improvement, Care Process ＆ Redesign, Turnaround Time, Workflow Redesign, Access To Care
About this Content
Aims
Increase the proportion of foreign workers with NSTEMI receiving time to cath less than 72 hours by 50% over 6 months.
Background
The ACC and AHA guidelines recommend inpatient coronary angiogram (cath) of 72 hours for patients with NSTEMI not meeting high-risk criteria. A significant proportion of foreign workers with NSTEMI experience a long mean time to cath less than 72 hours, linked to back-office delays in completing the 'Financial Counselling' process.
Methods
A BraveHeart4ForeignWorkers Bundle comprising of an 1. Epic Smartphrase and 2. e-Bundle was created to overcome the identified backend delay.
Results
Pre-implementation data: 28% of foreign workers receive mean time to cath 72 hours. Post-implementation data: 69% of foreign workers receive mean time to cath less than le72 hours.
Conclusion
The intervention successfully increased the proportion of foreign workers with NSTEMI receiving time to cath less than 72 hours.
Lessons Learnt
Addressing backend delays and improving communication with employers can significantly reduce the time to cath for foreign workers with NSTEMI. Addressing backend delays and improving communication with employers can significantly reduce the time to cath for foreign workers with NSTEMI.
Keywords
NSTEMI, Coronary Angiogram, Financial Counselling, Epic Smartphrase, E-bundle
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Heart Centre Singapore, National University Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Cardiology |
Project Lead(s) | Joy Ong Yi Shan |
Project Member(s) | Wesley Yeung |
Connect with this contributor!
Joy Ong Yi Shan - joy.ong@mohh.com.sg