Improving Value Driven Outcomes in Total Knee Replacements
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2019
To implement an electronic care pathway for TKR surgery, improving compliance, reducing LOS, and lowering costs. The project demonstrated that pathway standardization drives quality improvements and cost reductions.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Value Based Care, Length Of Stay, Productivity, Cost Saving, Quality Improvement, Lean Methodology
About this Content
Aims
To implement an electronic care pathway for TKR surgery, improving compliance, reducing LOS, and lowering costs.
Background
Variation in TKR care practices led to inconsistent outcomes and higher costs.
Methods
Standardized TKR care pathways, introduced Best Practice Advisory prompts, and trained staff in Epic documentation.
Results
Improved mean CQI from 63% to 79%; reduced mean consumable costs by 20%; decreased LOS cases above 5 days by 47.8%.
Conclusion
The project demonstrated that pathway standardization drives quality improvements and cost reductions.
Lessons Learnt
Standardization improves outcomes; strong multidisciplinary collaboration is essential for sustained change.
Additional Information
National Healthcare Innovation Award for Care Redesign (2018); the pathway serves as a model for other surgical specialties.
Keywords
TKR, Standardized Pathways, Value-Driven Outcomes
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Orthopaedics |
Project Lead(s) | Philip McGraw |
Project Member(s) | Fione Gun |
Connect with this contributor!
Fione Gun - fione_gun@nuhs.edu.sg
Project Attachment
C113_NTFGH_QM_2019_Improving_Value_Driven_Outcomes_in_Total_Knee_Replacements.pdf