Projects

IMPACT OF A NOVEL TOWNSHIP MODEL OF CARE IN BUKIT BATOK

Project Categories

Care Continuum

Care Process & Redesign

Platform

National Healthcare Innovation and Productivity Medals

Cluster

National University Health System

27 January 2026

The aim of the Bukit Batok Township Model of Care (BBTMoC) is to shift towards proactive preventive care, increase care. The success of BBTMoC is evident in its adoption at the cluster level and its impact on reducing hospital utilization and improving.

Year Submitted: 2025
Published Date: 27 January 2026

Tags: Care Continuum, Care Process ＆ Redesign, Preventive Care, Community Health, Risk Management

About this Content

Aims

The aim of the Bukit Batok Township Model of Care (BBTMoC) is to shift towards proactive preventive care, increase care integration and coordination, and partner with the community.

Background

The background highlights the demographic aging in Singapore and the associated increase in healthcare burden due to frailty and chronic morbidity. The BBTMoC was piloted to address these challenges.

Methods

The methodology involved enrolling participants aged 40 and above in Bukit Batok SMC into the BBTMoC. The model is risk-stratified, integrating medical and social care for high-risk participants and enrolling all participants in a preventive health plan.

Results

The results showed decreased hospital utilization, increased health-related quality of life, and higher participation in health screening and vaccinations among participants.

Conclusion

The success of BBTMoC is evident in its adoption at the cluster level and its impact on reducing hospital utilization and improving quality of life.

Lessons Learnt

A vital lesson was the value of co-creating solutions with stakeholders to build trust and overcome care fragmentation.

Keywords

Frailty, Preventive Care, Community Health, Risk Stratification

Innovators' Details

Healthcare Cluster(s)	National University Health System
Organization(s) Involved	Ng Teng Fong General Hospital
Platform(s)	National Healthcare Innovation and Productivity Medals
Healthcare Professional Group(s)	Allied Health
Applicable Specialty or Discipline
Project Lead(s)	LEE HEE HOON
Project Member(s)	CHEE THONG GAN JESSLYN CHONG CHIN CHI HSIEN ZENG HUI HUI ESTHER TAN JASMINE LIM HO BEE HONG CHEW TEE KIT CHRISTINE WU WESLEY TEO EUGENE TAN LIM SUE FERN TAN HUI YIN KATHERINE TAN CHEE JIA YI PHAEDRA LEE POH SIJIE NASEEMA BANU GRACE CHAN JAMIE HO ALVIN LEE WOON ZHING WEN

Connect with this contributor!

LEE HEE HOON - hee_hoon_lee@nuhs.edu.sg

Project Attachment

422_NTFGH_NHIP_2024_Impact_of_a_Novel_Township_Model_of_Care_in_Bukit_Batok.pdf