Projects

Value-based Care for Hip Fracture Patients in SACH

Project Categories

Care Process & Redesign

Platform

National Healthcare Innovation and Productivity Medals

Cluster

Agency for Integrated Care - Intermediate and Long Term Care

31 December 2023

To improve the percentage of patients (discharged home) with a length of stay (LOS) ≤ 26 days from 53% to ≥ 64% by 31 Mar. Enhanced care processes reduced LOS, improved staff satisfaction, and set the stage for integrating technology like robotic rehab for.

Year Submitted: 2023
Published Date: 31 December 2023

Tags: Care Process ＆ Redesign, Value Based Care, Length Of Stay, Productivity, Quality Of Life, Workflow Redesign

About this Content

Aims

To improve the percentage of patients (discharged home) with a length of stay (LOS) ≤ 26 days from 53% to ≥ 64% by 31 Mar 2023.

Background

Hip fracture is prevalent among older adults in Singapore, with extended LOS impacting care quality and resource efficiency.

Methods

Adopted a multidisciplinary team approach using the Plan-Do-Check-Act cycle and conducted a 3-month pilot in rehabilitation wards to refine workflows before full implementation.

Results

Increased percentage of patients discharged home with LOS ≤ 26 days to 64%; improved staff satisfaction and reduced unnecessary rework between SACH and CGH.

Conclusion

Enhanced care processes reduced LOS, improved staff satisfaction, and set the stage for integrating technology like robotic rehab for future efficiency.

Lessons Learnt

Multidisciplinary collaboration and data analytics are critical for sustaining improved care processes and outcomes.

Keywords

Hip Fracture, Enhanced Care Pathway, Rehabilitation, Continuity of Care

Innovators' Details

Healthcare Cluster(s)	Agency for Integrated Care - Intermediate and Long Term Care
Organization(s) Involved	St. Andrew Community Hospital
Platform(s)	National Healthcare Innovation and Productivity Medals
Healthcare Professional Group(s)	Allied Health, Healthcare Administration, Nursing, Medical
Applicable Specialty or Discipline	Orthopaedics, Rehabilitation Therapy
Project Lead(s)	Edward Goh Teck Kheng
Project Member(s)	De Rama Erlyn Merjudio Eric Wie Diong Nguk Sing Galvin Tan Abamonga Melissa Suzanne Yparraguirre Loh Wei Chin Seng Si Xian Shawn Ng Patrick Lee Rachel Lin Shirley Chen Zin Zin Nyein Lawrence Lim Wang Ping Zhuang Zhiling Law Yen Hoon Eric Wie Alison Sim Tan Lay Kheng Angel Lee

Connect with this contributor!

Mr. Eric Wie - eric_wie@sach.org.sg

Project Attachment

C_96_SACH_NHIP_2023_Value_based_Care_for_Hip_Fracture_Patients_in_SACH.pdf