To Reduce the Readmission Rate of Heart Failure Patients
Care Continuum
Care Process & Redesign
Technology
Singapore Healthcare Management Congress
SingHealth
31 December 2018
Reduce the readmission rate of heart failure patients within 30 days of discharge. Multidisciplinary care coordination significantly enhances patient outcomes and cost-efficiency.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Care Continuum, Technology, Quality Improvement, Workflow Redesign, Value Based Care, Safe Care, Access To Care, Readmission Rate, Bed Occupancy Rate, Discharge Planning, Productivity, Cost Saving, Preventive Care, Patient Education, Patient Satisfaction, Digital Health, Digital Apps, Mobile Health
About this Content
Aims
Reduce the readmission rate of heart failure patients within 30 days of discharge.
Background
Heart failure admissions accounted for 17% of all cardiac hospitalizations, highlighting the need for better discharge planning.
Methods
Introduced personalized education, follow-up calls by patient navigators, and a Heart Failure Buddy mobile app.
Results
Reduced 30-day readmissions from 8.3% to 3.5% and 6-month readmissions from 13.6% to 5.8%; saved $116,400 annually.
Conclusion
Multidisciplinary care coordination significantly enhances patient outcomes and cost-efficiency.
Lessons Learnt
Personalized education and active follow-up are critical for reducing readmissions and improving care transitions.
Additional Information
Singapore Healthcare Management 2018 – Best Practice Medal (Care Redesign).
Keywords
Heart Failure, Readmission Reduction, Multidisciplinary Care, Patient Education, Mobile Health.
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | National Heart Centre Singapore |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Allied Health, Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Cardiology |
Project Lead(s) | Ong Bee Geok |
Project Member(s) | Marilyn Tay May Gin |
Connect with this contributor!
Ong Bee Geok - ong.bee.geok@nhcs.com.sg
Project Attachment
SHM_CO033_NHCS_To_Reduce_the_Readmission_Rate_of_Heart_Failure_Patients_combine.pdf