Projects

Enhanced Recovery After Surgery for Total Knee Arthroplasty Patients

Project Categories

Care Continuum

Care Process & Redesign

Platform

National Healthcare Innovation and Productivity Medals

Cluster

SingHealth

31 December 2023

Develop a patient-centered rehabilitation pathway for total knee arthroplasty patients to reduce length of hospital stay. The ERAS program is a sustainable model that reduces hospital bed occupancy and enhances recovery.

Year Submitted: 2023
Published Date: 31 December 2023

Tags: Care Process ＆ Redesign, Care Continuum, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Value Based Care, Patient Satisfaction, Access To Care, Bed Occupancy Rate, Turnaround Time, Productivity, Cost Saving, Discharge Planning, Intermediate and Long Term Care ＆ Community Care, Home Care

About this Content

Aims

Develop a patient-centered rehabilitation pathway for total knee arthroplasty patients to reduce length of hospital stay.

Background

Patients in Singapore stayed 4-5 days for knee arthroplasty compared to outpatient surgery abroad.

Methods

Piloted ERAS package, pre-op education, and home visits, and partnered with NTUC Health for sustainability.

Results

Reduced average hospital stay from 4.55 to 2.92 days by 2022; high patient satisfaction with early discharge and home care.

Conclusion

The ERAS program is a sustainable model that reduces hospital bed occupancy and enhances recovery.

Lessons Learnt

Collaborative efforts and patient-centered approaches improve outcomes and satisfaction.

Additional Information

NHIP 2023 – Best Practice Medal (Care Redesign).

Keywords

Model of Care, Teleconsultation, Home Recovery, Patient-Centered Care.

Innovators' Details

Healthcare Cluster(s)	SingHealth
Organization(s) Involved	Singapore General Hospital
Platform(s)	National Healthcare Innovation and Productivity Medals
Healthcare Professional Group(s)	Allied Health, Ancillary Care, Healthcare Administration, Nursing, Medical
Applicable Specialty or Discipline	Physiotherapy, Surgery, Orthopaedics
Project Lead(s)	Koh Shi Man Samantha
Project Member(s)	Lee Yoke Fun Jeremie Ng Eleanor Chew Shu Xian Pang Hee Nee Prof Yeo Seng Jin Jerry Chen Anita D/o Sugumaran Rajashulakshana D/o Rajaram Liu Weihua Rachel Marie Towle

Connect with this contributor!

Samantha Koh - samantha.koh.s.m@sgh.com.sg

Project Attachment

C835_SGH_NHIP_2023_Enhanced_Recovery_After_Surgery_for_Total_Knee_Arthroplasty_Patients.pdf