Integrated Care

MNGHA Definition of Integrated Care is a methodology to improve patient care through better coordination of services. Its mission is to deliver patient-centered, highly coordinated patient care.

Objectives

• To establish systems and procedures to provide highly coordinated and streamlined patient care across all disciplines, specialties, and healthcare sectors within MNGHA.

• To provide health information technology supportive tools within EMR to streamline the coordination of patient’s care.

• To enhance regular communication between all healthcare providers, patients, and their family members to ensure efficient and effective care.

• To incorporate the best evidence into healthcare delivery and practice to deliver the highest level of integrated patient care.

• To ensure patient’s priorities and evolving needs are central throughout their healthcare journey.

• To proactively identify higher-risk patients for poorly coordinated care and address their clinical needs in a timely fashion.​​
  

Different Programs

• iCARE: a system of real-time surveillance and intervention for patients at risk of poorly coordinated care to address any fragmentation in care delivery and resolve it promptly.
  

• iSURGE: a system that ensures the surgical consultants are empowered, supported, and entirely in charge of their OR waiting list to achieve timely, safe, and efficient patient-centered surgical care. It is a patient-centered system that ensures patients are prioritized according to their clinical needs and waiting times.
  

Future Direction and Achievements

• Frailty Program.
  

• Chronic Disease Management: Management of High-Risk Patients, support prevention and illness management.​​