Increase Rate of Decant for Eligible Patients Requiring Admission from TTSH Emergency Department to Alexandra Hospital
Care Continuum
Care Process & Redesign
National Healthcare Group Quality Improvement
National Healthcare Group
National University Health System
31 December 2021
Increase successful patient decant rate from TTSH ED to Alexandra Hospital from 56% to 80%. Optimized decant workflows increase efficiency, save costs, and enhance patient care.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Care Continuum, Quality Improvement, Workflow Redesign, Access To Care, Waiting Time, Value Based Care, Productivity, Cost Saving, Inpatient Care, Acute Care
About this Content
Aims
Increase successful patient decant rate from TTSH ED to Alexandra Hospital from 56% to 80%.
Background
Access block in TTSH ED; decanting eligible patients improves care access and hospital efficiency.
Methods
Root cause analysis with PDSA cycles, such as streamlined workflows and direct communication methods.
Results
Decant rate increased to 67%; average weekly decants rose from 6.47 to 9.15, saving 418 annual bed days.
Conclusion
Optimized decant workflows increase efficiency, save costs, and enhance patient care.
Lessons Learnt
Multi-hospital collaboration and effective communication are critical for smooth workflow transitions.
Additional Information
NHG Quality Improvement 2021 (Best Award); Annual cost savings of $465,652 due to reduced bed-day usage.
Keywords
Patient Decanting, Workflow Redesign, Quality Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group, National University Health System |
Organization(s) Involved | Tan Tock Seng Hospital, Alexandra Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Emergency Medicine, Healthcare Administrators |
Project Lead(s) | Chia Yih Chong Michael |
Project Member(s) | Lee Chiao Hao |
Connect with this contributor!
Dr. Chia Yih Chong Michael - michael_yc_chia@ttsh.com.sg
Project Attachment
C413_TTSH_NHG_QI_Award_2021_Increase_Rate_of_Decant_for_Eligible_Patients.pdf