Reducing the LOS of Chronically Ill Patients in the Cardiothoracic Intensive Care Unit CTICU
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
Others
29 January 2026
To reduce the average length of stay (ALOS) of long stayers, provide support for patients and families, and build trusting. The MDT initiative effectively improves patient care and reduces stress for nurses by providing a network for communication and.
Year Submitted: 2025
Published Date: 29 January 2026
Tags: Cost Saving, Quality Improvement, Workflow Redesign, Care Process ＆ Redesign, Productivity, Length Of Stay, Value Based Care
About this Content
Aims
To reduce the average length of stay (ALOS) of long stayers, provide support for patients and families, and build trusting relationships.
Background
The National Centre in Singapore for Cardiovascular diseases faces challenges with an increase in chronically ill patients requiring complex care.
Methods
Formation of a Multi-disciplinary Team (MDT) for Long Stayers Care, bi-weekly meetings, active screening, and regular review programs for long stayers.
Results
A decline in ALOS and total bed days for two consecutive years, with an estimated hospital bill saving of $30,000.
Conclusion
The MDT initiative effectively improves patient care and reduces stress for nurses by providing a network for communication and support.
Lessons Learnt
Importance of communication among healthcare professionals, benefits of a structured approach, and positive impact on service delivery and patient outcomes.
Additional Information
Stakeholder feedback emphasizes the success and appreciation of the MDT's efforts.
Keywords
MDT, Cardiothoracic, ICU, Length of Stay, Patient Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | Others |
Organization(s) Involved | National Centre for Cardiovascular Diseases |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health |
Applicable Specialty or Discipline | Cardiology |
Project Lead(s) | Philip Pang |
Project Member(s) | Foo Lee Lian |
Connect with this contributor!
Gillian Wee - gillian.wee.h.l@nhcs.com.sg