Violet Programme @ SANH: A Nursing Home End-of-Life Care Initiative
Care Continuum
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
Agency for Integrated Care - Intermediate and Long Term Care
31 December 2022
Increase ACP uptake in terminally ill residents from 25% to 50% and achieve 60% die-in-place rates in preferred locations. Breaking processes into manageable steps significantly improves care quality.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Continuum, Care Process ＆ Redesign, End-Of-Life Care, Palliative Care, Intermediate and Long Term Care ＆ Community Care, Nursing Home Care, Quality Improvement, Clinical Practice Improvement
About this Content
Aims
Increase ACP uptake in terminally ill residents from 25% to 50% and achieve 60% die-in-place rates in preferred locations.
Background
Baseline: 25% ACP uptake and 15% die-in-place rate; gaps in staff training and resource availability.
Methods
Adopted a 3-pronged approach involving training, system reviews, and specialist support.
Results
ACP rate improved to 95%; 63% of residents died in place vs. 15% baseline; cost savings of up to $522,238.
Conclusion
Breaking processes into manageable steps significantly improves care quality.
Lessons Learnt
Understanding resident preferences and team-based care improves EOL outcomes.
Additional Information
Spread plans to other nursing homes under St. Andrew’s Mission Hospital
Keywords
EOL Care, ACP, Die-in-Place, Palliative Care, Nursing Home
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | Agency for Integrated Care - Intermediate and Long Term Care |
Organization(s) Involved | St. Andrew Community Hospital, St. Andrew Nursing Home |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Palliative Medicine |
Project Lead(s) | Shaun Gerald Nathan |
Project Member(s) | Angel Lee |
Connect with this contributor!
Dr. Shaun Gerald Nathan - shaun_nathan@sach.org.sg