Projects

Patient Care Collaboration with Community Partners using Central Health LinkUp (CHL)

Project Categories

Care Continuum

Platform

National Healthcare Innovation and Productivity Medals

Cluster

National Healthcare Group

31 December 2021

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

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 Ian Leong Wong Chia Siong Lim Sing Yong Elizabeth Pan Evelyn Tan Tay Tian Lin Shermaine How Ong Wee Ting Sarah Tan Jerilyn Hui

Connect with this contributor!

Bernice Lin Lifang - bernice_lf_lin@ttsh.com.sg

Project Attachment

C380_TTSH_NHIP_2021_Patient_Care_Collaboration_w_Community_Partners_using_Central_Health_LinkUp.pdf