Lower Extremity Amputation Prevention Programme (LEAPP): Cost Effective Rapid Access Multidisciplinary Limb Salvage and Medical Optimisation in Diabetic Foot Ulcer (DFU) Management
Care Process & Redesign
Organisational Leadership
Workforce Transformation
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2022
Prevent lower extremity amputations in diabetic foot ulcer (DFU) patients by improving access to multidisciplinary care and. LEAPP proved effective in reducing LEAs and showed significant cost savings through early intervention and integrated care.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Organisational Leadership, Workforce Transformation, Quality Improvement, Clinical Practice Improvement, Risk Management, Preventive Care, Productivity, Cost Saving, Job Redesign, Multi-Disciplinary
About this Content
Aims
Prevent lower extremity amputations in diabetic foot ulcer (DFU) patients by improving access to multidisciplinary care and rapid interventions.
Background
The high incidence of lower extremity amputations in diabetic patients, particularly in those with DFUs, was leading to negative patient outcomes and high healthcare costs.
Methods
Established a one-stop clinic for DFU patients that included podiatrists, vascular surgeons, and endocrinologists. Improved workflow, quick referrals, and team-based care to optimize outcomes.
Results
Achieved a 40% reduction in major LEA rates and an 80% reduction in minor LEA rates, alongside better control of diabetes and hyperlipidemia.
Conclusion
LEAPP proved effective in reducing LEAs and showed significant cost savings through early intervention and integrated care. The program has now expanded across the NHG network.
Lessons Learnt
Early access to multidisciplinary care and coordinated treatment planning significantly reduced amputation rates and improved clinical outcomes.
Additional Information
The program is now part of a broader national initiative with collaboration from multiple healthcare institutions.
Keywords
Lower Extremity Amputation, Diabetic Foot Ulcer, Multidisciplinary Care, Podiatry, Endocrinology, Vascular Surgery
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Surgery, Endocrinology, Podiatry |
Project Lead(s) | Hong Qiantai |
Project Member(s) | Liew Huiling |
Connect with this contributor!
Dr Hong Qiantai - qiantai_hong@ttsh.com.sg
Project Attachment
C_425_TTSH_NHIP_2022_Lower_Extremity_Amputation_Prevention_Programme_Cost_Effective_Rapid_Access.pdf