Nurse-led care consolidation (NLCC) in overcoming care fragmentation in an Integrated General Hospital (IGH)
Care Process & Redesign
Workforce Transformation
National Healthcare Innovation and Productivity Medals
National University Health System
31 December 2020
To overcome care fragmentation, improve outcomes for chronically ill patients, and empower nurses to lead consolidated care. Successfully redesigned care workflows, enabling nurses to lead multidisciplinary care delivery with measurable improvements.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Workforce Transformation, Quality Improvement, Workflow Redesign, Productivity, Cost Saving, Patient Reported Outcome Measures, Job Redesign, Upskilling, Length Of Stay, Multi-Disciplinary
About this Content
Aims
To overcome care fragmentation, improve outcomes for chronically ill patients, and empower nurses to lead consolidated care delivery.
Background
Fragmented care increases healthcare costs and lowers care quality. Alexandra Hospital piloted a nurse-led approach to streamline care delivery for chronic patients.
Methods
Nurses acted as primary care leads: reviewing patients, coordinating care, leading rounds, and facilitating discharge transitions.
Results
40% reduction in patient length of stay; 65% of nurses reported empowerment; 84% reported increased confidence in leading care rounds.
Conclusion
Successfully redesigned care workflows, enabling nurses to lead multidisciplinary care delivery with measurable improvements.
Lessons Learnt
Empowering nurses to lead care improves patient outcomes, reduces fragmentation, and boosts professionalism.
Additional Information
Implemented hospital-wide at Alexandra Hospital for care consolidation.
Keywords
Nurse-Led Care, Care Consolidation, Workforce Transformation, Length of Stay, Empowerment
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Alexandra Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Healthcare Administration, Nursing |
Applicable Specialty or Discipline | Healthcare Administrators |
Project Lead(s) | Peck Sin Yee |
Project Member(s) | Liu Huan |
Connect with this contributor!
Peck Sin Yee - sin_yee_peck@nuhs.edu.sg
Project Attachment
43_AH_NHIP_2020_Nurse_led_care_consolidation_NLCC_combined.pdf