Group 2 - SCH's roles with Primary & Community Care by Mingyi Yang https://padlet.com/icee02/co2uptzp181z9nib Discussion #2 en-us 2022-07-31 14:58:36 UTC 2022-08-10 07:30:16 UTC hello@padlet.com https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952586 Continue nursing care support when patient discharge (complex case). ]]> 2022-08-10 05:34:48 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952586 To understand the needs and barriers of the care transition and hospital @home so that we can better partnership https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952676 2022-08-10 05:35:08 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952676 https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952745 Allow GP partners admitting rights to community hospitals (in consultation with community hospital doctors). This will engender GPs as a stronger partner and with skin in the game.]]> 2022-08-10 05:35:22 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952745 Work on developing pathway/protocol for secondary and tertiary prevention for VDC conditions .. let primary care physicians focus on primary prevention for DM/hypt/hyperlipidemia https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952817 2022-08-10 05:35:35 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952817 To manage patients expectations in DRC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952871 2022-08-10 05:35:46 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952871 https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952914 Home nursing association can be used for home visits.]]> 2022-08-10 05:35:55 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952914 Establish structured partnership where there is communication & feedback flow (referral, care plan, follow up & evaluation) https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952956 2022-08-10 05:36:02 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952956 Combination of MDT to participate in pt care such as finance, rehab, nurse, dr etc. https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952975 2022-08-10 05:36:05 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257952975 Patient education is important as they may not see the need to receive care after their discharge https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953012 2022-08-10 05:36:10 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953012 To work with community partners on what are available in the community beside DRC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953029 2022-08-10 05:36:13 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953029 Partner including caregivers https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953170 2022-08-10 05:36:38 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953170 Community Nursing and community pharmacy involvement should be considered. Majority of patient cares can be supported by them https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953277 2022-08-10 05:36:58 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953277 Public education https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953424 2022-08-10 05:37:25 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953424 SCH could manage the cases in terms of the patient journey in the community. This will provide greater assurance and confidence to patients, and also alleviate the management load on Community partners as they are usually not as well resourced. https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953456 2022-08-10 05:37:31 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953456 https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953490 Have we ocnsidered healthcare befriender - a concept much like social befriender]]> 2022-08-10 05:37:36 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953490 Build in infrastructure for seamless referral & follow up https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953683 2022-08-10 05:38:13 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953683 https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953704 Fold comm nursing with GP empanelment. Both patients and GPs benefit from a larger network of nurses/case managers as the conduit between hospital and community.]]> 2022-08-10 05:38:17 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953704 Work on VDC conditions eg capture the fracture initiative for osteoporosis, Halt CKD for patients with hypertension and CRF https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953902 2022-08-10 05:38:52 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257953902 Perhaps SCH could consider providing continuing education services to community partners in the areas of community care. https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954021 2022-08-10 05:39:11 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954021 Walk in rehab clinics that need not be through referral from hospitals https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954341 2022-08-10 05:39:59 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954341 Bee Yee https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954412 Understand reasons of patients for not continuing with comm rehab after discharge e.g. last-mile access from home to/fro transport pick-up and drop-off]]> 2022-08-10 05:40:09 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954412 Partner with AIC to provide support or continue CGT post discharge https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954877 2022-08-10 05:41:25 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257954877 Bee Yee https://padlet.com/icee02/co2uptzp181z9nib/wish/2257956243 Extension of Medication therapy management (MTM) by SCH pharmacists beyond discharge ]]> 2022-08-10 05:45:19 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257956243 To work on subsidy subvention and accessibility of medications https://padlet.com/icee02/co2uptzp181z9nib/wish/2257956307 2022-08-10 05:45:34 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257956307 https://padlet.com/icee02/co2uptzp181z9nib/wish/2257956451 IPCar can use the existing Community Nursing program currently run by RHS - where nurses visit patients in their homes to ensure they remain well.
This will not only add value but also form a niche to Comm Nursing.]]> 2022-08-10 05:45:55 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257956451 Bee Yee https://padlet.com/icee02/co2uptzp181z9nib/wish/2257958291 Collaborate with other service providers e.g. SHP to offer 1-stop spectrum of rehab from MSK to geri/neuro etc. ]]> 2022-08-10 05:50:16 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257958291 Bee Yee https://padlet.com/icee02/co2uptzp181z9nib/wish/2257962691 Community Dietetics and Nutrition Workgroup (COMDAN) looking at establishing national model for community dietetics e.g. GPs referrals to dietitians, training comm partners to provide general diet advice ]]> 2022-08-10 06:00:59 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257962691 Bee Yee https://padlet.com/icee02/co2uptzp181z9nib/wish/2257986996 Rehab on community integration can be improved so that patients can get out of their homes with confidence. ]]> 2022-08-10 06:50:07 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257986996 Establish a package deal (include DRC service cost) https://padlet.com/icee02/co2uptzp181z9nib/wish/2257996032 2022-08-10 07:05:07 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2257996032 Needs to understand needs of the population of our community partners are serving (geriatrics pop Vs working adults/adolescence) https://padlet.com/icee02/co2uptzp181z9nib/wish/2258005580 2022-08-10 07:06:10 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258005580 Engage volunteers to assist with telerehab https://padlet.com/icee02/co2uptzp181z9nib/wish/2258005600 2022-08-10 07:06:12 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258005600 Bee Yee https://padlet.com/icee02/co2uptzp181z9nib/wish/2258006108 Better support for dementia patients who also have rehab care needs.]]> 2022-08-10 07:07:03 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258006108 https://padlet.com/icee02/co2uptzp181z9nib/wish/2258006115 One way is to have a joint office manned by both AIC and SCH staff to better coordinate discharge and transition of care to community partners. ]]> 2022-08-10 07:07:04 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258006115 Subsidized cost for DRC services https://padlet.com/icee02/co2uptzp181z9nib/wish/2258006442 2022-08-10 07:07:40 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258006442 To expand on the community services and their accessibility https://padlet.com/icee02/co2uptzp181z9nib/wish/2258007520 2022-08-10 07:08:58 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258007520 https://padlet.com/icee02/co2uptzp181z9nib/wish/2258008788 Partnership in education and awareness of community rehab providers so that there is positive association with rehab provided by public hospital clusters. Sometimes the community have the perception that hospital rehab is better. We have to help our partners gain credence amongst the public, esp in newer towns.]]> 2022-08-10 07:11:22 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258008788 Standardization of tele rehab, and training of using tele rehab starts from CH https://padlet.com/icee02/co2uptzp181z9nib/wish/2258010301 2022-08-10 07:14:20 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258010301 Consider change of operating hours of DRC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258010600 2022-08-10 07:14:54 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258010600 Bee Yee https://padlet.com/icee02/co2uptzp181z9nib/wish/2258010986 Vision, hearing and oral health screening ]]> 2022-08-10 07:15:37 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258010986 https://padlet.com/icee02/co2uptzp181z9nib/wish/2258011321 Follow the mind space and "daily activities of living" of the layperson. Telcos, coffee shops, etc are natural catchment areas that are useful to gain change in social behaviours with an overall health objective. These would be for more upstream and preventative measures]]> 2022-08-10 07:16:12 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258011321 https://padlet.com/icee02/co2uptzp181z9nib/wish/2258011471 To be a thought leader and forerunner in ILTC care standards and medical capabilities. SCH will be an ideal partner to collaborate with IHLs, A*STAR and Med tech companies to test-bed new technologies and devices for patient rehab and home care.]]> 2022-08-10 07:16:30 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258011471 To add to Bee Yee's suggestion, collaborations with community partners could also move beyond rehab to include speech therapy, dietetic services etc. https://padlet.com/icee02/co2uptzp181z9nib/wish/2258011512 2022-08-10 07:16:34 UTC https://padlet.com/icee02/co2uptzp181z9nib/wish/2258011512