PeriopeRativE ProgrAm foR Elderly (PREPARE) – Preoperative Optimization of Frail Patients Undergoing Major Abdominal Surgery
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2020
To implement a frailty assessment tool and provide prehabilitation to frail elderly patients undergoing surgery. PREPARE successfully optimized preoperative frailty care, reducing complications and hospital costs; scalable nationwide.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Access To Care, Referral Rate, Value Based Care, Length Of Stay, Safe Care, Risk Management, Preventive Approach, Utilisation
About this Content
Aims
To implement a frailty assessment tool and provide prehabilitation to frail elderly patients undergoing surgery.
Background
Frailty increases postoperative complications, length of stay, and healthcare costs; prehabilitation can improve outcomes.
Methods
Validated Edmonton Frailty Scale; established a PREPARE team for prehabilitation, including physiotherapy, nutrition, and medical optimization.
Results
Median length of stay reduced by 2-3 days; postoperative complication-free rate improved by 24%; average bill size reduced by 21%.
Conclusion
PREPARE successfully optimized preoperative frailty care, reducing complications and hospital costs; scalable nationwide.
Lessons Learnt
A systematic, multidisciplinary approach and stakeholder engagement are key to improving frailty outcomes.
Additional Information
Surgery is like a marathon—preparation is key for frail patients to achieve better outcomes.
Keywords
Frailty Assessment, Prehabilitation, Edmonton Frailty Scale, Length of Stay, Elderly Surgery
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Nursing, Medical, Allied Health |
Applicable Specialty or Discipline | Geriatric Medicine, Surgery, Gastroenterology, Anaesthesiology, Internal Medicine, Physiotherapy |
Project Lead(s) | Hairil Rizal Bin Abdullah |
Project Member(s) | Eileen Sim |
Connect with this contributor!
Dr. Hairil Rizal Bin Abdullah - hairil.rizal.abdullah@singhealth.com.sg
Project Attachment
427_SGH_NHIP_2020_CR_Winner_2_PeriopeRativE_ProgrAm_foR_Elderly_PREPARE_combine.pdf