Enhanced Comprehensive Care Program@ NUH
Care Continuum
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National University Health System
31 December 2020
Reduce hospital admissions and length of stay (LOS) for high-touch patients by 10% through improved continuity and. ECCP significantly improved continuity of care, reduced hospital utilisation, and enhanced health outcomes for high-risk patients.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Care Continuum, Value Based Care, Length Of Stay, Access To Care, Readmission Rate, Preventive Care, Patient Education
About this Content
Aims
Reduce hospital admissions and length of stay (LOS) for high-touch patients by 10% through improved continuity and coordination of care.
Background
Singapore's ageing population has multiple comorbidities, leading to fragmented care and frequent ED visits, hospital admissions, and poor outcomes.
Methods
Empanelled patients under a generalist physician with a multidisciplinary team, electronic tagging for ED alerts, and dedicated phone support.
Results
Admissions reduced from 1.92 to 0.58; ED visits reduced from 1.96 to 0.77; bed days dropped from 8.3 to 2.08. Estimated cost savings: $471,403.90.
Conclusion
ECCP significantly improved continuity of care, reduced hospital utilisation, and enhanced health outcomes for high-risk patients.
Lessons Learnt
Patient engagement, team-based care, and proactive communication improve care outcomes. Relationship-building fosters trust and coordination.
Additional Information
Recognised under NUH's Peaks of Excellence Strategy
Keywords
Care Redesign, Patient-Centered Care, Hospital Utilisation Reduction
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) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Healthcare Administrators, Emergency Medicine, Geriatric Medicine |
Project Lead(s) | Loo Swee Chin |
Project Member(s) | Terry Toh Kong Leong |
Connect with this contributor!
Dr. Loo Swee Chin - swee_chin_loo@nuhs.edu.sg
Project Attachment
52_NUH_NHIP_2020_Enhanced_Comprehensive_Care_Program_NUH_combine.pdf