Increase Successful Right Siting from Department of RAI to Shared Care Community Right Siting Programme
Care Continuum
Care Process & Redesign
National Healthcare Group Quality Improvement
National Healthcare Group
24 December 2025
To increase the percentage of successful right siting of patients from Department of Rheumatology, Allergy and Immunology. The intervention shows promise in increasing successful referrals and cost avoidance.
Year Submitted: 2025
Published Date: 24 December 2025
Tags: Care Process ＆ Redesign, Care Continuum, Workflow Redesign, Right-Siting, Cost Saving, Quality Improvement, Productivity, Intermediate and Long Term Care ＆ Community Care
About this Content
Aims
To increase the percentage of successful right siting of patients from Department of Rheumatology, Allergy and Immunology (RAI) to shared care community right siting programme (CRiSP) from 9% to 30% (stretch goal 70%) for eligible patients over 6 months.
Background
To change something, one needs to understand the groundwork that is in place and what's being practiced. There are interventions that can be changed superficially but may not lead to a profound effect. To increase patients' uptake and for shared care to be successful and sustainable, there's a need for a system change such as maintaining low cost comparable to polyclinics for it to be attractive to patients.
Methods
Biannual reminders to doctors on availability of shared care CRiSP and workflow. Identify eligible patients early (within 2 years of follow up). Simplify referral workflow to encourage uptake by doctors. Annual rheumatology workshops to educate and empower partner General Practitioners (GPs).
Results
Total Patients Successfully Referred to CRISP GPs: 11 patients in 6.5 months (ie. 2 patients in a month) to 17 patients in 3 months (ie. 6 patients in a month).
Conclusion
The intervention shows promise in increasing successful referrals and cost avoidance.
Lessons Learnt
High manual work in screening for patients who are eligible for shared care (prior to clinic visit) in individual rheumatologist's clinic. Patients' reluctance in choosing shared care model due to various reasons (hospital is a 1-day visit for blood test, doctor's consult and medication collection whereby in shared care they need to return 2 to 3 times; pre-conceived notion that specialist clinic is always better).
Keywords
Rheumatology, Allergy, Immunology, CRiSP, Right Siting, Cost Avoidance
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Allergy ＆ Immunology, Rheumatology |
Project Lead(s) | Loh Mung Ee |
Project Member(s) | Rachel Lim Wei Shan |
Connect with this contributor!
Group Quality - nhggroup.QRM@nhghealth.com.sg