Moving Beyond Hospital to Community: TTSH Community Health Team
Care Continuum
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2021
Achieve holistic, place-based care for patients and residents in Central Singapore. Expanded care to Central Zone residents, creating a scalable ecosystem for improved population health.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Continuum, Care Process ＆ Redesign, Intermediate and Long Term Care ＆ Community Care, Right-Siting, Population Health, Community Health, Preventive Care, Chronic Care, Self Care, Patient Education
About this Content
Aims
Achieve holistic, place-based care for patients and residents in Central Singapore.
Background
Siloed care delivery models led to fragmented care and difficulties in navigating health systems.
Methods
Established multi-disciplinary community health teams and created peer support groups for sustainable care.
Results
Reduced ED visits and admissions; improved patient empowerment and self-management; achieved scalable ecosystem for Central Singapore residents.
Conclusion
Expanded care to Central Zone residents, creating a scalable ecosystem for improved population health.
Lessons Learnt
Collaboration with community partners is essential for holistic and sustainable healthcare delivery.
Keywords
Community Health, Population Health, Preventive Care
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) | Allied Health, Nursing, Ancillary Care |
Applicable Specialty or Discipline | Physiotherapy, General Medicine |
Project Lead(s) | Adj. Ian Leong |
Project Member(s) | Wong Chia Siong |
Connect with this contributor!
Adj. A/Prof Ian Leong - Ian_Leong@ttsh.com.sg