Discharge before 11:30Hrs from Obstetric Wards
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National University Health System
30 January 2026
To increase the percentage of eligible patients, from the Private Obstetric wards, that are discharged by 11:30 am, from the. The intervention strategy aims to increase the uptake of discharge bundles and improve discharge timings, with a focus on.
Year Submitted: 2025
Published Date: 30 January 2026
Tags: Care Process ＆ Redesign, Productivity, Time Saving, Quality Improvement, Workflow Redesign, Value Based Care, Patient Satisfaction, Discharge Planning
About this Content
Aims
To increase the percentage of eligible patients, from the Private Obstetric wards, that are discharged by 11:30 am, from the baseline of 14% to 50% in 6 months (July 2022 to December 2022). Eligible patients are those fit for discharge after rounds.
Background
The Ministry of Health (MOH) has set a KPI of discharging 50% of the Obstetrics inpatient before 11:30Hrs. The non-availability of hospital beds for obstetrics patients has led to increasing patient dissatisfaction to the extent of outrage on social media. Delayed discharge also led to long waiting time for the next patients.
Methods
Content may include: Type of workshops (Improvement Sprints, EQUIP, etc), Methodologies used (Value Stream Mapping, Fishbone diagram, etc), Separate diagnostic & testing of change ideas (PDCA / PDSA cycle), Tracking of results, Findings from problem analysis.
Performance Improvement Plan includes working with the neonatology team and ward in charge nurses. Data collection of each month about 'Discharge before 1130 and uptake of discharge bundle' will be sent to the OG OPS team to be presented at monthly staff meetings.
Results
Content may include: Pre- / Post-results, Benefits. 92 patients discharged on time, resulting in quantitative savings of $55,200.
Conclusion
The intervention strategy aims to increase the uptake of discharge bundles and improve discharge timings, with a focus on sustainability and spreading the process to other subdivisions.
Lessons Learnt
Challenges encountered during implementation include conflicting clinical duties and the need for regular updates to family by Nurses and Doctors at Rounds.
Keywords
Discharge, Obstetric, Patient Satisfaction, Workflow Redesign, Time Saving
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Medical, Nursing, Pharmacy |
Applicable Specialty or Discipline | Medical, Neonatology, Obstetrics and Gynaecology, Nursing, Nursing Research, Pharmacy |
Project Lead(s) | Arundhati Gosavi Tushar |
Project Member(s) | Chinnadurai Amutha |
Connect with this contributor!
Arundhati Gosavi Tushar - Arundhati_gosavi@nuhs.edu.sg
Project Attachment
441_NUH_NHIP_2024_Discharge_before_1130Hrs_from_Obstetric_Wards.pdf