Partnering the Community to Anchor Care for Bukit Batok Residents
Care Continuum
National Healthcare Innovation and Productivity Medals
National University Health System
31 December 2022
Use the BioPsychoSocial (BPS) screener to identify at-risk residents and establish Inter-Disciplinary Groups (IDGs). Successfully integrated care plans into the Bukit Batok community with ongoing stakeholder collaboration.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Continuum, Population Health, Physical Health, Preventive Care, Community Health, Public Awareness
About this Content
Aims
Use the BioPsychoSocial (BPS) screener to identify at-risk residents and establish Inter-Disciplinary Groups (IDGs).
Background
Fragmented care and lack of holistic resident assessments created unmet biopsychosocial needs.
Methods
Introduced BPS screening tools, IDG meetings for complex care, and co-developed care plans.
Results
Facilitated 90% of care goals (36/40) within 2.7 IDG sessions; reduced time for care stabilization.
Conclusion
Successfully integrated care plans into the Bukit Batok community with ongoing stakeholder collaboration.
Lessons Learnt
Stakeholder engagement and an asset-based community development model improved buy-in.
Keywords
Biopsychosocial Screening, Community Care, Interdisciplinary Teams, Holistic Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health |
Applicable Specialty or Discipline | General Practice, Medical Social Workers |
Project Lead(s) | Lee Hee Hoon |
Project Member(s) | Chee Thong Gan |
Connect with this contributor!
Lee Hee Hoon - Hee_Hoon_Lee@nuhs.edu.sg
Project Attachment
C_275_NTFGH_NHIP_2022_Partnering_the_Community_to_Anchor_Care_for_Bukit_Batok_Residents.pdf