Care Transformation Efforts to Reduce Over Servicing and/or Over-Consumption of Outpatient Podiatry Services in a Tertiary Hospital Setting in Singapore
Care Continuum
Care Process & Redesign
Workforce Transformation
National Healthcare Group Quality Improvement
National Healthcare Group
31 December 2018
To reduce over-servicing and over-consumption of outpatient podiatry services in a tertiary hospital setting |. Clear clinical guidelines and staff upskilling can mitigate over-servicing and ensure optimal resource allocation.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Workforce Transformation, Care Continuum, Quality Improvement, Workflow Redesign, Value Based Care, Utilisation, Operational Management, Resource Allocation, Job Redesign, Outpatient Care, Intermediate and Long Term Care ＆ Community Care, Right-Siting, Workforce Sustainability
About this Content
Aims
To reduce over-servicing and over-consumption of outpatient podiatry services in a tertiary hospital setting | Over-servicing or over-consumption of Podiatry services may occur through lack of recognized treatment protocols and step-down services. A care transformation process to change Podiatry’s care delivery was undertaken to ensure resources were optimized to meet the rising workload demand and to provide optimal care with the leanest number of sessions. | A multi-pronged approach was used in transforming care delivery for Podiatry services, including the introduction of clinical guidelines, workload leveling, and a focus on efficient resource utilization. | The multi-pronged approach showed improvement in the mean number of sessions consumed by patients, reducing over-consumption and providing optimized care. | Key lessons included that operational solutions alone would not be sustainable, and a robust clinical approach was necessary to improve patient care. | Conclusion: A well-structured care transformation process can reduce over-servicing and improve the quality of care. | No additional information. | Keywords: Process Improvement, Workforce Redesign, Care Redesign, Podiatry, Chronic Diabetic Patients | Khalid Anuar | khalid_anuar@ttsh.com.sg
Background
Over-servicing of podiatry services was linked to a lack of standardized treatment protocols and step-down care.
Methods
Introduced clinical guidelines for referrals, discharge planning, and outcomes tracking; stratified clinical workload and right-sited care delivery.
Results
Reduced mean sessions per patient, optimized resource use, and addressed increasing workload with lean operational strategies.
Conclusion
Clear clinical guidelines and staff upskilling can mitigate over-servicing and ensure optimal resource allocation.
Lessons Learnt
Effective care transformation combines clinical protocols with operational strategies to manage workload sustainably.
Keywords
Podiatry, Workforce Redesign, Process Improvement, Resource Optimization
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Medical, Allied Health |
Applicable Specialty or Discipline | Podiatry, Physiotherapy |
Project Lead(s) | Khalid Anuar |
Project Member(s) |
Connect with this contributor!
Khalid Anuar - khalid_anuar@ttsh.com.sg