Coordinator-directed, multidisciplinary, multimodal prehabilitation improves surgical outcomes, QoL and saving
Care Continuum
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
SingHealth
30 January 2026
To streamline healthcare delivery, improve services utilization, and ensure sustainability by launching a novel coordinated. The program demonstrates that surgical morbidity, length of hospitalization, and quality of life for an elderly cohort are more.
Year Submitted: 2025
Published Date: 30 January 2026
Tags: Care Process ＆ Redesign, Productivity, Cost Saving, Quality Improvement, Workflow Redesign, Care Continuum, Quality Of Life
About this Content
Aims
To streamline healthcare delivery, improve services utilization, and ensure sustainability by launching a novel coordinated multimodal, multidisciplinary system.
Background
Surgical morbidity and mortality pose significant threats to patients' quality-of-life, experience, and confidence. Prehabilitation is increasingly recognized to pre-optimize surgical patients for better outcomes.
Methods
A coordinated multimodal, multidisciplinary system was launched by unifying services under one program supported by coordinators.
Results
After 16 months of implementation, surgery-related complications were 1.6%, 30-day mortality was 0%, hospital stay of less than 7 days was 70.7% (up from 64.3%, p=0.034), and patients discharged directly home was 86.4% (up from 75.2%, p=0.023).
Conclusion
The program demonstrates that surgical morbidity, length of hospitalization, and quality of life for an elderly cohort are more favorable compared to those who did not participate.
Lessons Learnt
A standardized prehabilitation program for aged adults reduced the duration of hospitalization, improved the quality of life after surgery, and improved patient experience as well as healthcare savings.
The interventions in PEERS are limited with many aspects of prehabilitation still lacking.
Keywords
Prehabilitation, Surgery, Quality of Life, Healthcare Savings
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Sengkang General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Healthcare Administration, Medical |
Applicable Specialty or Discipline | Allied Health, Nutrition ＆ Dietetics, Physiotherapy, Healthcare Administrators, Clinical Research, Medical, Anaesthesiology, Gastroenterology, Rehabilitation Therapy, Surgery |
Project Lead(s) | A/P |
Project Member(s) | Cherie CY Tong |
Connect with this contributor!
Frederick Koh Hong Xiang - Frederick.koh.h.x@singhealth.com.sg