An Evaluation of a Care Transition Process Pilot in Singapore

December 2014

More people are landing back in hospitals within a month of being discharged, prompting hospitals here to ramp up care for patients in their homes and the community, so they can avoid such re-admissions.

Despite the need for centre- and home-based long-term care services (CHLTCS) among patients to be discharged from acute care hospitals, the services take-up rate is about 50% in Singapore. This study evaluates a new transition process that reduces resource duplication and patient waiting time, and increases take-up rate. It shows that the key ingredients of success in this pilot are informed care decisions made early and shorter processing time from care needs assessment to service provider assignment.