“No hospitalisation for me!” Sustaining and Improving Singapore’s First Ambulatory Emergency Care (AEC) Service
Care Continuum
Ministry of Health Quality Improvement
National Healthcare Group
31 December 2023
To reduce short-stay General Medicine admissions to less than 24 hours by implementing the Ambulatory Emergency Care (AEC). AEC services offer safe, cost-effective alternatives to inpatient stays, improving patient outcomes and system efficiency.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Continuum, Acute Care, Ambulatory Care (Outpatient Care)
About this Content
Aims
To reduce short-stay General Medicine admissions to less than 24 hours by implementing the Ambulatory Emergency Care (AEC) service.
Background
Emergency Department overcrowding and prolonged wait times affected patient experience and outcomes.
Methods
Monthly reviews, streamlined pathways, and collaboration with UK AEC Accelerator Programme.
Results
Reduced length of stay by 28.6 hours per patient, saved $465 per patient, and maintained a low readmission rate (6.3%).
Conclusion
AEC services offer safe, cost-effective alternatives to inpatient stays, improving patient outcomes and system efficiency.
Lessons Learnt
Multidisciplinary coordination and continuous feedback sustain high-quality care and improve efficiency.
Additional Information
MOH National QI Conference 2023 (Outstanding Poster Award).
Keywords
Ambulatory Emergency Care, Patient Outcomes
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital, Yishun Health |
Platform(s) | Ministry of Health Quality Improvement |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Emergency Medicine |
Project Lead(s) | Thofique Adamjee |
Project Member(s) | Kanak Naidu |
Connect with this contributor!
Dr Thofique Adamjee - thofique@gmail.com
Project Attachment
C_582_YH_MOH_QI_No_hospitalisation_for_me_Sustaining_and_Improving_Singapore_s_First_AEC_Service.pdf