(New) Inpatient Nursing Frailty Assessment (INFA): Comprehensive Geriatric Assessment (CGA) and multidisciplinary intervention for frail hospitalised older adults

New

Objective

The INFA programme at TTSH targets older adults with mild to moderate frailty who are admitted to general medicine and surgical wards. Key programme components are:

A novel geriatric syndrome screening tool on Epic, the hospital electronic health record system
Empowerment of ward nurses through nurse-led screening and intervention protocols
CGA
Comprehensive discharge planning

The study team will conduct implementation research before and during the programme’s pilot. Prior to implementation, the team will identify anticipated barriers and enablers to refine the programme and develop implementation strategies. During the pilot, implementation outcomes, sustainability and scalability will be studied.

Additionally, programme effectiveness will be evaluated by comparing outcomes of patients who received it with those who did not, in areas such as function, quality of life, hospital readmission rates and use of healthcare services. Cost-effectiveness will also be examined. Overall, this project contributes to building frailty-ready hospital services and informing practice and policy on frailty management in Singapore.

Collaborators

Tan Tock Seng Hospital
National Healthcare Group