Timely Chronic Pain Management
Care Process & Redesign
Yishun Health One Improvement Festival
National Healthcare Group
2 April 2025
To increase the percentage of patients FV (First Visit) given appointment within ≤ 60 days attending C35 Pain Management. The interventions led to 46.5% of FV patients being given appointments within ≤ 60 days, showing significant improvement from 0%.
Year Submitted: 2025
Published Date: 02 April 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Cost Saving, Time Saving, Access To Care, Waiting Time
About this Content
Aims
To increase the percentage of patients FV (First Visit) given appointment within ≤ 60 days attending C35 Pain Management Clinic from current 0% to 50% within the next 6 months in Khoo Teck Puat Hospital.
Background
Long wait time is associated with deterioration of HRQL (Health related quality of life), psychological well being and increased depression scores. IASP recommends wait time less than 8 weeks for FV patients. Percentage of FV patients given appointment within ≤ 60 days attending C35 Pain Management Clinic was 0%.
Methods
Interventions included removing ring-fencing of RV slots and increasing FV slots in a session, and establishing a nurse-led pain clinic for designated RV patients.
Results
46.5% of FV patients were given appointment within ≤ 60 days. Increased number of FV and RV patients seen per session. Increased number of day surgery pain interventions.
Conclusion
The interventions led to 46.5% of FV patients being given appointments within ≤ 60 days, showing significant improvement from 0%.
Lessons Learnt
Removing ring-fencing of RV slots and establishing a Nurse led clinic for RV patients led to significant improvements in appointment scheduling.
Additional Information
The One Improvement Festival 2025 (Category B - Service Redesign & Delivery) – Top 15 Finalists
Keywords
Pain Management, Nurse Clinic, Wait Time, Cost Savings
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | Yishun Health One Improvement Festival |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Anaesthesiology |
Project Lead(s) | Joshi A |
Project Member(s) | Bin W.H. |
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KTPH & YCH Innovation & Improvement (I&I) Office - i-i@ktph.com.sg