Transforming Knee-Arthroplasty to Day-Surgery Enhanced-Recovery Model Via Care Redesign
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2022
Transform knee arthroplasty (KA) care to a Day Surgery Enhanced Recovery (DSER) model to reduce length of stay (LOS) and. The DSER model was highly successful in reducing ALOS, saving costs, and optimizing hospital bed utilization.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Quality Improvement, Clinical Practice Improvement, Workflow Redesign, Value Based Care, Discharge Planning, Bed Occupancy Rate, Length Of Stay, Cost Saving, Patient Reported Outcome Measures
About this Content
Aims
Transform knee arthroplasty (KA) care to a Day Surgery Enhanced Recovery (DSER) model to reduce length of stay (LOS) and improve patient outcomes.
Background
Knee arthroplasty (KA) patients previously had extended stays, limiting bed availability. There was a need for enhanced recovery pathways to optimize clinical outcomes and discharge.
Methods
Redesigned care pathways to enable early mobilization, pre- and post-operative education, and coordinated discharge planning.
Results
Successfully reduced the average length of stay (ALOS) for knee arthroplasty patients from 3.9 days to 1.5 days for UKA and 1.7 days for TKA.
Conclusion
The DSER model was highly successful in reducing ALOS, saving costs, and optimizing hospital bed utilization. The model was scaled from UKA to TKA patients.
Lessons Learnt
Early engagement with patients and adequate education led to greater patient receptiveness and faster recovery.
Keywords
Enhanced Recovery, Knee Arthroplasty, Day Surgery, Discharge Planning, Patient Education
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | Physiotherapy, Occupational Therapy, Orthopaedics, Surgery |
Project Lead(s) | Ashton Neoh Eng Chuan, Kelvin Tan Guoping |
Project Member(s) | Yap Yan Mei |
Connect with this contributor!
Ashton Neoh Eng Chuan - Eng_chuan_neoh@ttsh.com.sg