
Developing a hospital to community model of care: From experience to evidence to implementation
Kheng Hock Lee

A Real-time Frequent Hospital Admitter Risk Stratification Model (FAM-FACE-SG score) to predict “Familiar Faces in Singapore”
Lian Leng Low, Kheng Hock Lee, Kok Yong Fong

Risk stratification for patients with high care needs: the experience of the integrated care team in the Singapore General Hospital
Lian Leng Low, Shu Yun Tan, Kheng Hock Lee

Identifying communities at high risk of re-admission in Singapore and understanding their needs during transition of care from hospital to home
Darren Yak Leong Chan, Lian Leng Low, Wei Yi Tay, Kheng Hock Lee

Transitional Home Care program utilizing the Integrated Practice Unit concept (THC-IPU): Effectiveness in improving acute hospital utilization
Lian Leng Low, Wei Yi Tay, Shu Yun Tan, Elian Hui San Chia, Rachel Marie Towle, Kheng Hock Lee

Transitional care for the highest risk patients: findings of a randomised control study
Kheng Hock Lee, Lian Leng Low, John Allen, Sylvaine Barbier, Lee Beng Ng, Matthew Joo Ming Ng, Wei Yi Tay, Shu Yun Tan