Medical Short Stay Ward - Assigning Patients into Appropriate Care Stream
Care Process & Redesign
Yishun Health One Improvement Festival
National Healthcare Group
2 April 2025
The aim is to expand the MSSW model to encompass a broader range of diagnoses while maintaining the core elements of the. MSSW serves as a good adjunct to the services offered by the General Medicine department, aiding in improving overall patient flow by.
Year Submitted: 2025
Published Date: 02 April 2025
Tags: Cost Saving, Workflow Redesign, Quality Improvement, Care Process ＆ Redesign, Access To Care, Waiting Time, Value Based Care, Length Of Stay
About this Content
Aims
The aim is to expand the MSSW model to encompass a broader range of diagnoses while maintaining the core elements of the AECU, focusing on improving flow within the ES1 and ES2 patient population segments, reducing the length of stay and ED wait time.
Background
The MSSW was introduced to provide acute medical care for selected suitable patients, aiming to discharge within 72 hours through rapid assessment from senior doctors, expedited investigations, and early definitive treatment
Methods
The methodology involves a 'Pull' and 'Push' system to optimize admissions, with A&E maintaining admitting rights while the MSSW team actively identifies suitable patients inED for transfer. The model revolves around dedicated clinical manpower, focused on efficiently managing patient turnaround.
Results
The MSSW demonstrated cost savings and a reduction in ALOS for patients. There was a 20-hour reduction in ALOS and significant cost savings for the hospital.
Conclusion
MSSW serves as a good adjunct to the services offered by the General Medicine department, aiding in improving overall patient flow by reducing the length of stay for suitable patients
Lessons Learnt
Challenges encountered during implementation include ensuring smooth processes and addressing challenges through team chat groups and monthly meetings with key stakeholders.
Additional Information
1. MSSW ensures quality of care and patient safety will not be compromised, with a 30-dayreadmission rate of 8%, which is lower than the hospital's rate of 12.4%. 2. The One Improvement Festival 2025 (Category E - Innovation in Healthcare) – Top 15 Finalists
Keywords
Acute Medicine, Patient Flow, Cost Savings, Length of Stay, Turnaround Time
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | Yishun Health One Improvement Festival |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | General Medicine |
Project Lead(s) | Peiris N.S, Ng S.J.H |
Project Member(s) | Valliammai |
Connect with this contributor!
KTPH & YCH Innovation & Improvement (I&I) Office - i-i@ktph.com.sg
Project Attachment
749_KTPH_OIF_2025_Medical_Short_Stay_Ward_Assigning_Patients_into_Appropriate_Care_S.pdf