Launched in 2014, the TTSH Community Right- Siting Programme (CRiSP) aims to provide a smooth transition of care from the hospital to the community for patients whose conditions can be managed closer to home, by their Family Physicians/ General Practitioners (GPs). As of May 2018, CRiSP has developed partnerships with over 100 GP clinics and Family Medicine Clinics, and has benefitted more than 2,500 patients. We spoke to CRiSP Care Coordinators Ms Carol Chan and Ms Ng Foong Ying, and GP partners to see how the programme has progressed.
Care Coordinators play a pivotal role in identifying suitable patients who can be safely transitioned to primary care for follow-up and continued management. They provide financial counselling, educate patients, facilitate care transfer, and liaise with GP partners for follow-up care management. They ensure that GP partners have the necessary clinical documents, connect them with TTSH specialists for case discussions, provide support and handle patient matters. In the event of deterioration, they expedite the referral of patients back to the hospital to ensure timely treatment.
Carol and Foong Ying are happy and motivated by the meaningful work they do. They also experience a great sense of satisfaction when CRiSP patients receive quality care from their trusted Family Physicians and continue to remain well in the community.
Patients and their next-of-kin have benefited from CRiSP. The convenience and accessibility of nearby clinics, and Care Coordinators informing them about financial subsidies and schemes they are eligible for, are among the positive feedback provided. Patients are also better able to navigate through the healthcare system, and take charge of their own health.
GPs too, have been effusive about the Care Coordinators.