The Effectiveness of Community Health Team (CHT)-Inpatient Ward-Agency of Integrated Care (AIC) / Tripartite Case Discussion in Developing Care Plans to Aid Transition from Hospital to Home
Care Continuum
Singapore Health Biomedical Congress
Agency for Integrated Care - Intermediate and Long Term Care
National Healthcare Group
31 December 2021
Evaluate the effectiveness of tripartite case discussion in formulating a collaborative care plan for patient discharge. Tripartite case discussions improve discharge planning and resource utilization, enabling safe transitions from hospital to home.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Continuum, Preventive Care, Community Health, Intermediate and Long Term Care ＆ Community Care, Home Care, Right-Siting
About this Content
Aims
Evaluate the effectiveness of tripartite case discussion in formulating a collaborative care plan for patient discharge.
Background
Fragmented discharge care planning negatively impacts care transitions; tripartite case discussions improve outcomes.
Methods
Retrospective descriptive study involving inpatients with complex discharge issues from four acute care wards. Data analyzed on healthcare utilization pre and post-intervention.
Results
Reduced hospital resources usage; admissions dropped from 365 (pre-90 days) to 146 (post-90 days); referrals to appropriate community services increased.
Conclusion
Tripartite case discussions improve discharge planning and resource utilization, enabling safe transitions from hospital to home.
Lessons Learnt
Collaborative care plans improve transitions; knowledge of community resources is crucial for healthcare teams.
Additional Information
Bronze Award (SHBC Best Poster Award - Nursing) in Singapore Health & Biomedical Congress (SHBC) 2021.
Keywords
Care Transition, Tripartite Case Discussion, Resource Optimization
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group, Agency for Integrated Care - Intermediate and Long Term Care |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Singapore Health Biomedical Congress |
Healthcare Professional Group(s) | Healthcare Administration, Nursing |
Applicable Specialty or Discipline | General Medicine, Healthcare Administrators |
Project Lead(s) | Lau Ling Li Eileen |
Project Member(s) | Tan Zong Rui |
Connect with this contributor!
Lau Ling Li Eileen - eileen_ll_lau@ttsh.com.sg