Primary Technology-Enhanced Care – Hypertension (PTEC-HT) Providing Care for Hypertension Closer to Home
Care Continuum
Care Process & Redesign
Technology
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2020
To assess the feasibility and effectiveness of a redesigned hypertension care model leveraging technology for. PTEC effectively improved hypertension care, reduced workload, and proved cost-effective, demonstrating feasibility for large-scale.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Technology, Care Continuum, Care Process ＆ Redesign, Digital Health, Telehealth, Tele-Consultation, Tele-Monitoring, Chronic Care, Self Care, Intermediate and Long Term Care ＆ Community Care, Home Care, Quality Improvement, Workflow Redesign, Design Thinking, Lean Methodology, Productivity, Cost Saving, Manhour Saving
About this Content
Aims
To assess the feasibility and effectiveness of a redesigned hypertension care model leveraging technology for self-monitoring and tele-consultations.
Background
Increasing patient load and comorbidities required new delivery models to manage chronic diseases effectively while reducing clinic visits.
Methods
Pilot study using tele-monitoring, 4G gateway blood pressure devices, chatbots, and remote care manager interventions. Compared 103 PTEC patients vs. 115 usual care patients.
Results
Greater reduction in systolic blood pressure for PTEC patients. Reduced face-to-face visits (1.1 vs 1.5) and improved patient convenience. Man-hour savings equivalent to 5 FTEs/year. Cost-effective at $16,873/QALY.
Conclusion
PTEC effectively improved hypertension care, reduced workload, and proved cost-effective, demonstrating feasibility for large-scale deployment.
Lessons Learnt
A multi-disciplinary team and leadership engagement were critical. Tele-monitoring showed quick wins and relevance during COVID.
Additional Information
PTEC was critical during COVID-19 as medications were titrated remotely.
Keywords
Automation, IT & Robotics, Care Redesign, Chronic Disease Management, Tele-Monitoring, Home-Based Self-Management, Primary Care, Cost Savings, Lean Management
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | National Healthcare Group Polyclinics, Ministry of Health, Singapore |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Healthcare Administration |
Applicable Specialty or Discipline | Healthcare Administrators |
Project Lead(s) | Valerie Teo Hui Ying |
Project Member(s) | Ng Ling Ling |
Connect with this contributor!
Dr Valerie Teo Hui Ying - Valerie_HY_Teo@nhgp.com.sg
Project Attachment
327_NHGP_NHIP_2020_Primary_Technology_Enhanced_Care_Hypertension_PTEC_HT_combine.pdf