Total Knee Replacement (TKR): A Patient-Centric Approach to Improving Length of Stay (LOS)
Care Process & Redesign
Ministry of Health Quality Improvement
SingHealth
31 December 2023
To reduce post-op LOS for TKR patients to ≤5 days within 3 years while ensuring no negative impact on care quality. The project significantly reduced LOS and supported broader adoption of value-driven care across orthopedics.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Value Based Care, Length Of Stay, Quality Improvement, Workflow Redesign
About this Content
Aims
To reduce post-op LOS for TKR patients to ≤5 days within 3 years while ensuring no negative impact on care quality.
Background
Misconceptions about TKR recovery prolonged hospital stays unnecessarily.
Methods
Implemented RAPT assessments, prehabilitation, fast-track referrals, and a standardized TKR pathway.
Results
Reduced median post-op LOS from 5.9 days to 3.8 days (P=0.001); maintained low readmission rates.
Conclusion
The project significantly reduced LOS and supported broader adoption of value-driven care across orthopedics.
Lessons Learnt
Standardized pathways and pre-hab improve recovery efficiency while ensuring patient safety.
Additional Information
MOH National Quality Improvement Conference 2023 – Outstanding Poster Award.
Keywords
TKR Pathway, Length of Stay, Prehabilitation
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Changi General Hospital |
Platform(s) | Ministry of Health Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Orthopaedics, Physiotherapy, Occupational Therapy |
Project Lead(s) | Raghuraman Raghavan |
Project Member(s) | Wang Ping |
Connect with this contributor!
Ms Clarissa Kwok - clarissa_kwok@cgh.com.sg