Closing the Loop – Joining Up Care with Community Partners through “Central Health LinkUp (CHL)”
Care Continuum
Care Process & Redesign
Technology
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2022
To redesign care through the Central Health LinkUp (CHL) system by providing automated e-triggers to community partners when. The implementation of CHL significantly improved patient care, reduced unnecessary readmissions, and streamlined communication...
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Continuum, Care Process ＆ Redesign, Technology, Intermediate and Long Term Care ＆ Community Care, Right-Siting, Home Care, Readmission Rate, Length Of Stay, Information ＆ Communication Technology, Instant Messenging, Email, Digitalisation, Digital Platforms
About this Content
Aims
To redesign care through the Central Health LinkUp (CHL) system by providing automated e-triggers to community partners when their patients visit the ED, are admitted, or are discharged.
Background
Communication gaps between hospitals and community partners were affecting continuity of care, leading to uncoordinated care plans and readmissions.
Methods
Developed the Central Health Link (CHL), an automated system that triggers e-alerts to community care providers about patient visits to the ED, admissions, and discharges.
Results
Reduced readmissions by 8%, shortened inpatient length of stay (LOS) by 13%, and improved communication with 16 community partners.
Conclusion
The implementation of CHL significantly improved patient care, reduced unnecessary readmissions, and streamlined communication between the hospital and community partners.
Lessons Learnt
Collaboration with community partners was essential, and the need for a shared understanding of patient care goals was crucial.
Additional Information
The CHL system was successfully implemented in multiple NHG clinics and is being scaled to other areas for long-term sustainability.
Keywords
Collaboration, Community Partners, Communication, Care Coordination, Patient Safety
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Healthcare Administration |
Applicable Specialty or Discipline | Healthcare Administrators |
Project Lead(s) | Darryl Kok Yi How |
Project Member(s) | Loh Shu Ching |
Connect with this contributor!
Darryl Kok Yi How - Darryl_YH_Kok@ttsh.com.sg