Emergency Ambulatory Surgery (ACES) Bringing Care to Patients’ Homes
Care Continuum
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2024
Reduce inpatient emergency surgery admissions by ensuring that 80% of selected surgical patients are discharged home within. The ACES model has successfully reduced hospital stays and costs.
Year Submitted: 2024
Published Date: 31 December 2024
Tags: Care Process ＆ Redesign, Care Continuum, Value Based Care, Length Of Stay, Patient Satisfaction, Productivity, Cost Saving, Ambulatory Care (Outpatient Care), Outpatient Care
About this Content
Aims
Reduce inpatient emergency surgery admissions by ensuring that 80% of selected surgical patients are discharged home within 24 hours.
Background
Acute surgical conditions account for a large portion of hospital admissions, contributing to high bed occupancy. ACES was designed to provide safe, same-day discharge for selected emergency surgical patients.
Methods
Established a dedicated ACES workflow, integrating early senior clinician reviews and standardized discharge protocols with post-discharge follow-up.
Results
94.4% of ACES patients were discharged home, reducing hospital bed stays by an estimated 150 bed-days. Patient satisfaction improved, and total cost savings reached SGD $104,000.
Conclusion
The ACES model has successfully reduced hospital stays and costs. Future plans include expanding its coverage to additional surgical conditions.
Lessons Learnt
Implementing a structured ambulatory surgical model reduces inpatient admissions, enhances efficiency, and is adaptable for broader healthcare applications.
Keywords
Surgical Patients, General Surgery, Patient Experience, Length of Stay, Ambulatory Surgery, Cost Savings
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Yishun Health, Khoo Teck Puat Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Emergency Medicine, Surgery |
Project Lead(s) | Jerry Goo Tiong Thye |
Project Member(s) | Lee J. |
Connect with this contributor!
Dr Jerry Goo Tiong Thye - goo.jerry.tt@ktph.com.sg
Project Attachment
627_KTPH_NHIP_2024_Emergency_Ambulatory_Surgery_ACES_Bringing_care_to_patients_homes.pdf