Background: High hospital occupancy is a ubiquitous problem worldwide. Singapore General Hospital (SGH) being the largest tertiary hospital in Singapore, sees a large number of attendees come through its Emergency Department (ED) daily 1,2. With silver tsunami on the horizon and rising life expectancies around the world, we are facing higher healthcare complexities and stress [...]

Background: Compared with health care systems globally, the U.S. health care system expends more resources yet achieves worse patient outcomes. Growing recognition that such low-value care is a system-level problem has spurred efforts to optimize system-level processes. Low-value hospital admissions are a major contributor to overall low-value care, but limited descriptions of specific processes for [...]