Decreasing Length of Stay in OrthoGeriatric Patients (EQUIP)
Care Continuum
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
Increase percentage of hip fracture patients with LOS ≤10 days from 59.5% to 75%. Fast-Track pilot program successfully improved LOS and care quality for hip fracture patients.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Continuum, Care Process ＆ Redesign, Inpatient Care, Access To Care, Turnaround Time, Value Based Care, Length Of Stay
About this Content
Aims
Increase percentage of hip fracture patients with LOS ≤10 days from 59.5% to 75%.
Background
Long LOS for hip fracture patients increases costs, mortality, and hospital-acquired infections.
Methods
Discharge planning from Day 1, POD1 rehabilitation goals, and bed availability tracking.
Results
Mean LOS reduced to 9.6 days; percentage of patients with LOS ≤10 days increased to 68%; projected cost savings of $834,725 annually.
Conclusion
Fast-Track pilot program successfully improved LOS and care quality for hip fracture patients.
Lessons Learnt
Early planning, coordinated discharge, and public education improve LOS outcomes.
Additional Information
Fast-Track pilot with St. Luke's Hospital resulted in significant savings and improved care.
Keywords
Hip Fracture, Length of Stay, Discharge Planning, Rehabilitation, Cost Savings
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Ancillary Care, Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Orthopaedics, Geriatric Medicine, Healthcare Administrators |
Project Lead(s) | Beatrix Wong |
Project Member(s) | Wu Xueting |
Connect with this contributor!
Dr. Beatrix Wong - ling_ling_wong@nuhs.edu.sg
Project Attachment
408_NUH_NUH_QI_Decreasing_Length_of_Stay_in_OrthoGeriatric_Patients_EQUIP.pdf