NUHS@Home: Home-Based Inpatient Substitute Care
Care Continuum
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National University Health System
31 December 2022
Deliver inpatient-level care at home with comparable clinical outcomes and no additional patient costs. NUHS@Home demonstrated feasibility of inpatient substitute care, offering a sustainable model to reduce hospital burden.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Continuum, Care Process ＆ Redesign, Population Health, Intermediate and Long Term Care ＆ Community Care, Home Care, Value Based Care, Safe Care, Access To Care, Waiting Time, Digital Health, Telehealth, Tele-Consultation, Tele-Monitoring, Tele-Rehabilitation
About this Content
Aims
Deliver inpatient-level care at home with comparable clinical outcomes and no additional patient costs.
Background
Increasing demand for hospital beds and risks of nosocomial infections necessitated exploring alternatives like hospital-at-home.
Methods
Conducted patient assessments, remote monitoring, home visits, and multidisciplinary care plans; leveraged teleconsultation.
Results
Reduced hospital LOS by 4 days (median); achieved cost savings of 50-70% compared to traditional hospital stays.
Conclusion
NUHS@Home demonstrated feasibility of inpatient substitute care, offering a sustainable model to reduce hospital burden.
Lessons Learnt
Cultural shifts towards home-based care and sustainable funding mechanisms are critical for scaling.
Additional Information
Expanded capacity to 6 beds with MOH Sandbox funding in 2022
Keywords
Home-Based Care, Inpatient Substitution, Remote Monitoring, Cost Efficiency
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital, Ng Teng Fong General Hospital, Jurong Community Hospital, Alexandra Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Internal Medicine |
Project Lead(s) | Stephanie Ko |
Project Member(s) | Johnny Chan |
Connect with this contributor!
Dr Stephanie Ko - stephanie_qianwen_ko@nuhs.edu.sg
Project Attachment
C_265_NUHS_NHIP_2022_NUHS_Home_Home_based_Inpatient_Substitutive_Care.pdf