The Role of Integrated Medical Clinic in Transforming Healthcare Delivery to Improve Quality of Health Outcome
Care Process & Redesign
Asian Conference on Aging & Gerontology
National Healthcare Group
30 October 2025
The Integrated Medical Clinic (IMC) care model aims to transform healthcare delivery for geriatric patients, focusing on. IMC has emerged as a transformative solution, combining multidisciplinary care teams, streamlined communication, and value-based.
Year Submitted: 2025
Published Date: 30 October 2025
Tags: Patient Reported Outcome Measures, Value Based Care, Care Process ＆ Redesign
About this Content
Aims
The Integrated Medical Clinic (IMC) care model aims to transform healthcare delivery for geriatric patients, focusing on improving the quality of health outcomes through collaborative relationships among caregivers, patients, and their healthcare teams, as well as better coordinated, patient-centered care approaches.
Background
The growing geriatric population presents unique challenges to healthcare systems globally. Traditional healthcare models often fall short in addressing multidimensional needs for complex care coordination. IMC consolidates healthcare services around complex geriatric patients by assigning a healthcare team to promote care ownership, patient engagement, and empowerment.
Methods
At their first and subsequent 1-year and beyond follow-up IMC consultations, a Patient-Reported Outcome Measures (PROMs) questionnaire will be completed by IMC patients and/or caregivers. The PROMs questionnaire features various measures including EQ5D, iADLs, ACE Measure, GDS-7, and PHQ-2. An analysis of their baseline and post-IMC enrollment PROMs scores was done to assess the impact on their quality of health outcomes.
Results
More than half of the IMC patients (53%) maintained and/or improved HRQoLs. 85.7% sustained and/or improved functional dependency as measured by their iADLs. 98.8% of patients were engaged in their healthcare journey, and 82.8% showed improvement or maintained positive scores based on PHQ-2, while 90.7% improved and/or maintained positive scores based on GDS-7.
Conclusion
IMC has emerged as a transformative solution, combining multidisciplinary care teams, streamlined communication, and value-based approaches to optimize patient outcomes. Enrolled IMC patients have demonstrated better engagement, empowerment, and improved mental, social well-being while living with advanced chronic conditions and psycho-social complexities.
Lessons Learnt
The IMC model demonstrates the importance of multidisciplinary care teams, streamlined communication, and value-based approaches in optimizing patient outcomes. Effective and personalized healthcare delivery can lead to better engagement and empowerment of patients.
Additional Information
References include studies and tools like EuroQol, iADLs, ACE Measure, GDS-7, and PHQ-2.
Keywords
Primary Coordinating Doctor, Care Ownership, Patient Engagement, Patient Empowerment, Quality of Life
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital, NHG Health |
Platform(s) | Asian Conference on Aging & Gerontology |
Healthcare Professional Group(s) | Medical, Healthcare Administration |
Applicable Specialty or Discipline | Geriatric Medicine |
Project Lead(s) | Sabrina Toh Ee Ping |
Project Member(s) | Angie Lim Hui Li |
Connect with this contributor!
KTPH & YCH Innovation & Improvement (I&I) Office - i-i@ktph.com.sg
Project Attachment
799_KTPH_IMC 2025_The_Role_of_IMC_in_Transforming_Healthcare_Delivery.pdf