Delivering Integrated Care for Hip Fracture Bundled Patients from Acute to Community Hospitals and Post-discharge Community Services
Care Continuum
Care Process & Redesign
National Healthcare Group Quality Improvement
National Healthcare Group
31 December 2019
Create an integrated care model for hip fracture patients, optimizing care across acute and community settings. Integrated care models significantly improve efficiency, reduce variability, and enhance patient-centered outcomes.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Care Continuum, Value Based Care, Discharge Planning, Length Of Stay, Productivity, Cost Saving, Quality Improvement, Clinical Practice Improvement, Workflow Redesign, Lean Methodology, Access To Care, Readmission Rate, Intermediate and Long Term Care ＆ Community Care, Right-Siting
About this Content
Aims
Create an integrated care model for hip fracture patients, optimizing care across acute and community settings.
Background
Recovery journeys for hip fracture patients often span multiple institutions, necessitating coordination for sustainability and efficiency.
Methods
Implemented an integrated care path with discharge criteria, frequent management meetings, weekend discharges, and bundled care savings allocation.
Results
Reduced length of stay (LOS) across TTSH (12%), AMKH (16%), and RCH (18%); optimized patient throughput and reduced overall costs.
Conclusion
Integrated care models significantly improve efficiency, reduce variability, and enhance patient-centered outcomes.
Lessons Learnt
Collaborative planning, standardized protocols, and ongoing stakeholder communication ensure project sustainability and scalability.
Additional Information
Presented at CHI Learning Forum
Keywords
Hip Fracture, Integrated Care, Discharge Planning, Care Coordination, Bundled Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital, Ren Ci Hospital, Ang Mo Kio Thye Hua Kwan Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | Orthopaedics |
Project Lead(s) | Ivan Chua, Ramason Rani |
Project Member(s) |
Connect with this contributor!
Ms. Loong Chen Yi - chen_yi_loong@nhg.com.sg
Ms. Lynette Ong - lynette_wk_ong@ttsh.com.sg
Ms. Ho Wai Ling - wai_ling_ho@ttsh.com.sg
Project Attachment
300_TTSH_Kaizen_Delivering_Integrated_Care_for_Hip_Fracture_Bundled_Patients_combine.pdf