TTSH Community Right Siting Programme – Shifting of low complexity care from TTSH Specialist Outpatient Clinics to Primary Care
Care Continuum
Asian Hospital Management Award
National Healthcare Group
31 December 2019
To address rising chronic disease management demands by shifting low-complexity chronic care from TTSH SOCs to primary care. CRiSP successfully redefined care delivery for stable chronic patients, building a scalable and sustainable public-private care.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Continuum, Chronic Care, Primary Care, Intermediate and Long Term Care ＆ Community Care, Right-Siting, Outpatient Care, Specialist Outpatient Care
About this Content
Aims
To address rising chronic disease management demands by shifting low-complexity chronic care from TTSH SOCs to primary care providers.
Background
Rising chronic diseases in Singapore are straining healthcare resources. CRiSP aims to establish public-private partnerships to right-site patients from hospitals to GPs, improving capacity and accessibility.
Methods
Developed care networks with GPs, implemented care paths, targeted hot-spot regions, and pooled resources like subsidies, diagnostic support, and training.
Results
Facilitated over 6,100 discharges from SOCs to GPs, reducing 18,300 repeat visits. Low readmission rate (5%) and cost per patient ($323) achieved. Productivity exceeded MOH targets at 245.6 discharges per FTE/year.
Conclusion
CRiSP successfully redefined care delivery for stable chronic patients, building a scalable and sustainable public-private care ecosystem.
Lessons Learnt
Partnerships and shared resources with GPs demonstrated effectiveness. Collaboration across care providers and education improved patient acceptance and care continuity.
Additional Information
Awarded TTSH Milestone Award 2019 and Gold Award, Asia Hospital Management 2016.
Keywords
Care Redesign, Right Siting, Chronic Care, Public-Private Collaboration, Cost Savings, Patient Continuity, GP Networks, Primary Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Asian Hospital Management Award |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | General Medicine, General Practice |
Project Lead(s) | David Foo Chee Guan, Evelyn Tan |
Project Member(s) | Lynn Lee |
Connect with this contributor!
Evelyn Tan Si Miao - Evelyn_SM_Tan@ttsh.com.sg
A/Prof David Foo Chee Guan - David_Foo@ttsh.com.sg