Patient Care Collaboration with Community Partners using Central Health LinkUp (CHL)
31 December 2021
Project Categories
Care Continuum
Platform
National Healthcare Innovation and Productivity Medals
Cluster
National Healthcare Group
Overcome care continuity gaps between hospital and community through collaborative efforts and effective communication. The CHL model bridges hospital-to-home gaps and creates a self-sustaining, scalable ecosystem for community-integrated healthcare.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Continuum, Population Health, Physical Health, Mental Health, Acute Care, Ambulatory Care (Outpatient Care), Intermediate and Long Term Care ＆ Community Care, Home Care
About this Content
Aims
Overcome care continuity gaps between hospital and community through collaborative efforts and effective communication platforms.
Background
Communication lapses between care providers led to fragmented care and higher readmission rates.
Methods
Introduced Central Health LinkUp (CHL) with real-time alerts, joint case discussions, and instant messaging tools for collaboration.
Results
Reduced ED attendances and inpatient admissions, expanded the network of co-managed patients, and strengthened community partnerships.
Conclusion
The CHL model bridges hospital-to-home gaps and creates a self-sustaining, scalable ecosystem for community-integrated healthcare.
Lessons Learnt
Building trust and aligning objectives across multiple organizations ensure smoother care transitions and long-term sustainability.
Keywords
Care Continuum, Community Health, Integrated Care, Communication Platforms
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, Ancillary Care |
Applicable Specialty or Discipline | Rehabilitation Therapy, Physiotherapy, Occupational Therapy |
Project Lead(s) | Bernice Lin Lifang |
Project Member(s) | Loh Shu Ching |
Connect with this contributor!
Bernice Lin Lifang - bernice_lf_lin@ttsh.com.sg