Does an Integrated Palliative Care Program Reduce Emergency Department Transfers for Nursing Home Palliative Residents?
31 December 2021
Project Categories
Care Continuum
Technology
Platform
Singapore Health Biomedical Congress
Cluster
National Healthcare Group
Evaluate the impact of the GeriCare Palliative Care Program in reducing ED transfers for nursing home palliative residents. The integrated palliative care program demonstrated that proactive management and advanced planning can significantly improve patient.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Continuum, Technology, Intermediate and Long Term Care ＆ Community Care, Nursing Home Care, End-Of-Life Care, Population Health, Telehealth, Digital Health
About this Content
Aims
Evaluate the impact of the GeriCare Palliative Care Program in reducing ED transfers for nursing home palliative residents.
Background
Nursing home residents were frequently transferred to the ED due to inadequate end-of-life care, contributing to iatrogenic complications.
Methods
Conducted telemedicine consultations for residents planned for ED transfers, integrating Advance Care Planning (ACP), symptom management, and palliative care.
Results
82% of ED transfers were averted after teleconsultation, and a higher proportion of non-ED transfers had documented ACP and comfort care.
Conclusion
The integrated palliative care program demonstrated that proactive management and advanced planning can significantly improve patient care and reduce hospital transfers.
Lessons Learnt
The program’s success highlighted the importance of ACP discussions and early interventions in reducing unnecessary ED transfers.
Additional Information
Singapore Health & Biomedical Congress (SHBC) 2021 Best Poster Award (Health Services Research – Bronze Award)
Keywords
Palliative Care, ED Transfers, Telemedicine, ACP, Nursing Home Care, End-of-Life
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | Singapore Health Biomedical Congress |
Healthcare Professional Group(s) | Allied Health, Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Geriatric Medicine, Healthcare Administrators, Emergency Medicine, Palliative Medicine |
Project Lead(s) | Lim Yujun |
Project Member(s) | Ho Peiyan |
Connect with this contributor!
Tan Qing Wen - tan.qing.wen@ktph.com.sg