Increasing Proportion of Angioplasty Procedures Done as Day Surgery for SGH Patients with Dialysis Access Dysfunction to 65.0% within 12 Months
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
SingHealth
31 December 2022
To increase the percentage of elective angioplasty performed as day surgery for patients with dialysis access dysfunction. Transitioning angioplasty to day surgery optimizes costs, outcomes, and resource utilization.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Value Based Care, Utilisation
About this Content
Aims
To increase the percentage of elective angioplasty performed as day surgery for patients with dialysis access dysfunction.
Background
Elective angioplasty for dialysis access dysfunction was primarily inpatient, resulting in higher costs and LOS.
Methods
Implemented PDCA cycles, streamlined protocols, and engaged stakeholders to shift angioplasty to a day surgery model.
Results
Increased day surgery cases from 36% to 69.4%, reduced LOS to 0.5 days, and lowered median cost by 24.1%.
Conclusion
Transitioning angioplasty to day surgery optimizes costs, outcomes, and resource utilization.
Lessons Learnt
Continuous review and adjustment of protocols help manage challenges like inpatient conversions.
Keywords
Angioplasty, Day Surgery, Dialysis Access Dysfunction
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Neonatology, Radiology, Surgery |
Project Lead(s) | Tan Ru Yu |
Project Member(s) | Zhuang Kun Da |
Connect with this contributor!
Dr. Tan Ru Yu - tan.ru.yu@singhealth.com.sg
Project Attachment
C_675_SGH_NHIP_2022_Increasing_Proportion_of_Angioplasty_Procedures_Done_as_Day_Surgery.pdf