Community of Care (CoC): Working Hand in Hand to Improve Lives for Ang Mo Kio Residents
Care Continuum
Central Health Action & Learning Kampung
National Healthcare Group
31 December 2022
Build a Community of Care (CoC) network to provide timely care interventions for residents. The CoC network bridges healthcare and social services to improve quality of life for seniors.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Continuum, Population Health, Preventive Care, Self Care, Community Health, Health Promotion, Social Care
About this Content
Aims
Build a Community of Care (CoC) network to provide timely care interventions for residents.
Background
Rising demand for holistic care among Singapore's aging population.
Methods
Conducted door-to-door engagement; profiled residents with AIC Community Screener Tool; held monthly virtual meetings for case referrals.
Results
Flagged 16 high-risk cases proactively; facilitated discussions on 75 complex cases; established One Care Plan across multiple agencies.
Conclusion
The CoC network bridges healthcare and social services to improve quality of life for seniors.
Lessons Learnt
Collaborative networks efficiently address complex care needs and improve patient outcomes.
Additional Information
Featured in CHALK Poster Showcase 2022.
Keywords
Population Health, Active Aging, Continuity of Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital, Asian Women’s Welfare Association, National Healthcare Group Polyclinics |
Platform(s) | Central Health Action & Learning Kampung |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Geriatric Medicine |
Project Lead(s) | Sairam Azad |
Project Member(s) | So Man Shan |
Connect with this contributor!
TTSH Network Development - partnerships@ttsh.com.sg