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盎錄 Contents Contents Introduction Background of Healthcare Quality Award 1. Yuanlin Christian Hospital 2. Kaohsiung Veterans General Hospital 3. Taichung Veterans General Hospital 4. Chi Mei Hospital 5. National Cheng Kung University Hospital 6. Yuanlin Christian Hospital 7. National Taiwan University Hospital 8. Chiayi Chang Gung Memorial Hospital 9. Tri-Service General Hospital 10. Chi Mei Hospital 11. Kuang Tien General Hospital 12. MacKay Memorial Hospital 13. Tungs' Taichung MetroHarbor Hospital 14. Chiayi Chang Gung Memorial Hospital 15. Kaohsiung Veterans General Hospital 16. Chi Mei Hospital 17. Yuanlin Christian Hospital 18. Huede Co., Ltd. 19. Huijia Health Life Technology Co., Ltd. 20. Taoyuan Hospital, MOHW
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Introduction The Joint Commission of Taiwan (hereinafter referred to as “JCT”) is an organization established in 1999 funding by the Ministry of Health and Welfare, Taiwan Hospital Association, Taiwan Non-government Hospitals and Clinics Association, and Taiwan Medical Association. With credit and trust earned from society for its honesty, integrity and neutrality in implementing accreditation, certification and onsite inspection activities over time, JCT has qualified to become a professional accrediting organization which is certified by the International Society for Quality in Health Care Ltd. (ISQua). JCT is also committed to promoting quality and patient safety concepts, the use of quality promotion management tools, and healthcare professionals training, establishment of resource sharing platform with medical partners in order to convey exceptional healthcare value, to stimulate institutions in continuous improvement and to jointly promote the health and welfare of the general public. In recent years, with consideration of the advancement of medical technologies, increase of complexity of types of diseases and the insufficient manpower in the medical industry, JCT values the concept of Smart Care currently implemented internationally and observes that various medical institutions have gradually started to utilize information technology to assist the performance of healthcare services in order to increase benefit and safety as well as to reduce errors. Since 2013, JCT has started to launch the “Smart Hospital Outstanding Project Campaign” in light of selecting outstanding healthcare intellectualization implementations from the campaign to provide the benchmark learning opportunities for medical institutions. In addition, joint cooperation between the technology industry and medical institutions can be encouraged in order to improve the medical performance and quality as well as to create industrial values.
In 2014, for the “Healthcare Quality Award”, “Smart Healthcare Categor y” campaign has been established and “Industrial Application Group” has also been included in 2015. The campaign have been implemented for 5 years, and there are 66 institutions and 406 projects participating in the campaign (including medical institutions and information industry operators) up to the present day. The smart healthcare logo and prizes are awarded to outstanding projects, and according to the overall award winning performance of hospitals, the logo of “Smart Hospital” is also awarded to the entire institution in order to encourage hospitals in the overall development of intellectualization. Presently, there are 5 medical institutions in the nation that have obtained the logo of “Smart Hospital” for the entire institution. The purpose of the “Smart Healthcare Category” campaign is not only to select those with excellent smart healthcare services but also to demonstrate the MIT health service information solution to the world. In this collective presentation, winning projects of the Healthcare Institution Category of Smart Healthcare Campaign of JCT in2017 are selected for the demonstration in order to allow industries to observe successful examples related to the integration of technology and innovative smart healthcare technology as well as the applications thereof in the current healthcare services in light of encouraging and stimulating greater outstanding information technology related operators to participate in future healthcare intellectualization. Healthcare services with assistance of information technology to increase efficiency, quality and healthcare value; Innovative technology applications to drive industrial development value.
Background of Healthcare Quality Award Since 2000, JCT has started to promote the “Healthcare Quality Circle Announcement and Campaign”. At the beginning, the “Healthcare Quality Circle” was the key of the promotion (the term of “Healthcare Quality Circle” is an abbreviated form of the full name of Healthcare Quality Improvement Circle (HQIC), and the purpose was to encourage the primary healthcare personnel to form teams, to focus on the topic of quality improvement and to use the PDCA management cycle as the basis such that self-inspiration and interactive inspiration among the team members, team works can be utilized along with the use of statistical data and quality management tools in order to perform continuous improvement activities. Based on the concept of incorporating diverse quality management methods for quality improvement, in 2002 (third year), the “Quality Improvement Group” was further included to seek quality improvement projects of non-healthcare quality circle to participate in the campaign. To encourage the medical industry to break through the self departmentalism confined in its unit or professional field, in 2006 (seventh year), the participation aspects of the campaign were expanded, and the name of the campaign was also changed to “Overall Healthcare Quality Improvement Campaign” along with the promotion of relevant topics of “Integrated Holistic Healthcare’ and “Patient Safety”, “Evidence-Based Medicine”. Furthermore, in 2007 (eighth year), the campaign framework was restructured, and it was divided into three main campaign categories of “Subject Category”, “System Category” and “EvidenceBased Medicine Category”. In 2008 (ninth year), the name of the campaign was changed to “Healthcare Quality Award” with its full name as “Healthcare Quality Improvement Campaign (HQIC)” in light of extending the name of the original campaign and to emphasize the spirits of “continuous improvement”, “management cycle” and“team work” for the improvement of healthcare quality.
To encourage medical institutions, clinics, health centers and long-term care institutions with the total number of hospital beds less than 99 (inclusive) to participate in the campaign, in 2011 (twelfth year), the Subject Category further included the “Community Healthcare Group”. In 2013 (fourteenth year), to encourage medical institutions in the utilization of simulation trainings to improve the cooperation and communication skills of healthcare team, the “Simulation Scenario Category” was further included. In 2014 (fifteenth year), to improve the utilization of information technology of medical institutions, the “Smart Medical Category” was included as the fifth category of campaign. To encourage new healthcare personnel during training to participate in the quality activities, the “Documentation Verification Newcomer Group” was further included in the EvidenceBased Medicine category, and “Emergency/ Critical Care Newcomer Group” was included in the Simulation Scenario Category. To simulate domestic institutions or units to improve the healthcare quality through innovative researches in order to develop outstanding characteristic healthcare services, since 2016, the System Category has further included the “Outstanding Center Group” and “Outstanding Community Institution Group”. The campaign event has been implemented for seventeen years. To encourage the medical industr y to continue with the quality improvement and innovative thinking, JCT will continue to issue the awards of “Continuous Quality Improvement Award”, “Innovation Award”, “Human Factors Special Award” and “Best Workplace Award”. To expand the subjects participating in the campaign, JCT has started to host the “Cross-Strait Healthcare Quality Promotional Exchange Campaign” since 2012 (thirteenth year) in light of encoring greater number of institutions to continue to perform quality improvement and benchmark learning through such event in order to achieve the objective of improving healthcare quality. - Joint Commission of Taiwan
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Yuanlin Christian Hospital Construction of Quality Interactive Platform for Dialysis Center About Hospital
2018 Smart Medical Clinical Appalication
The initial purpose of the establishment of Yuanlin Christian Hospital is to satisfy the treatment demand for local emergency/critical illnesses. Regarding the healthcare in Changhua area, the President of Changhua Christian Hospital, Shou-Jen Kuo has a vision: He treats Changhua as a medical city in such a way that the city hospitals in Changhua, Lukang Health Park and the Yuanlin Health Park can be linked to form a healthcare network. The President Kuo’s concept is that patients can remain in institutions but healthcare personnel can be mobilized among institutions such that the equipment and medical resources at different hospitals can be centralized for management in order to provide local medical service at the medical center level. Through such arrangement, problems associated with the referral of patients for treatment can be reduced, and the heavy workloads at the operation rooms as well as the condition with constantly occupied hospital beds at the intensive care units can be relieved. As a result, Yuanlin Christian Hospital has been established. With the support of the Board of Directors and the leadership of President ShouJen Kuo and President Kuo-Wei Lee, this new hospital aims to become the model site for the Changhua Christian Hospital System. Consequently, in various aspects of healthcare, software/hardware equipment, information technology and architecture space, the hospital has adopted the latest and highest standards in the creation of a patient-based smart and green hospital.
Introduction of award winnings “Interactive Platform” is a patient-based platform, which utilizes advanced networks for integrating information and healthcare systems in order to provide modern healthcare service in such a way that healthcare personnel are able to make correct determinations swiftly, human errors can be reduced, medical resources can be properly allocated and the problem of insufficient manpower can be improved. Utilization of information system to establish a first smart dialysis center in our nation. 01
Humanity Integrity Professionalism Innovation
Patient service aspect 1. Unlike other institutions capable of providing televisions only, the dialysis center of our hospital implements the first Patient Information System in Taiwan in order to enhance the health education of patients as well as to increase the participation and satisfaction of medical treatment. 2. Transparent information to allow patients to understand the quality and safety of dialysis. 3. Improve self-learning and care ability of patients.
Treatment process aspect
Benefits Tangible benefits after introduction of information technology 1. Increase nursing work efficiency: The information system introduces the hemodialysis process record wireless upload such that the time consumption of approximately 50 minutes for each work shift to prepare manual drawings is reduced to 20 minutes with the saving of 30 minutes of time, leading to the saving of 810 minutes per day. This is equivalent to the saving of approximately NT$ 21,000 for the nursing manpower per day. 2. Patient weight data accuracy: After the introduction of the information system, the weight data accuracy is reduced from the error rate of 8 cases per month to zero errors, which significantly increases the patient safety.
Yuanlin Christian Hospital
1. Different form traditional information system design, the dialysis center of our hospital utilizes electronic whiteboard and program console with high visualization and touch design such that the operation process is simplified and the efficiency is improved. 2. Most advanced program and bed position design. 3. Allow administrator to monitor patients’ dialysis conditions of the entire area. 4. Seamless all-round care platform
8 cases/month 6 cases/month 4 cases/month 2 cases/month 0 cases/month
Accumulated number of erroneous cases
Before system introduction
After system introduction (2016/9~2017/4)
8 cases /month
0 cases / month
3. Increase patient satisfaction: PIS provides multiple function selections. Patients can watch TV, educational health videos and healthcare personnel can also interact with patients face to face in real-time in order to handle the needs of patients and to achieve the objective of direct communication. 02
Quality , We together ! 4. Energy saving and carbon reduction: The introduction of the system is able to reduce the carbon emission due to the printing of papers and the amount of use of papers in order to contribute efforts in environmental protection. In addition, it is estimated to reduce approximately 90,000 pieces of papers per month, which is beneficial to the environmental protection and care of our earth.
Product photos
2018 Smart Medical Clinical Appalication
Experience sharing and implementation results As the number of patients for dialysis increases, the patient safety environment and improvement of self-care ability must be achieved for dialysis. With the trend of technological society, network technology is applied to healthcare in order to allow patients to be incorporated into the management scope immediately after their acceptance of the dialysis treatment such that the patient information can be ensured to be correct and the safety of the patient treatment can be maintained. In addition, it also provides greater communication channels to healthcare services, thereby increasing the efficiency of healthcare services, reducing workload of nursing personnel and saving nursing manpower costs. Through system integration, patient satisfaction on the healthcare service can be achieved, and it can also reduce complaints of patients or relatives thereof due to insufficient nursing personnel. Consequently, the nursing quality can be improved while maintaining the image of the hospital such that a multi-wins situation can be achieved. The hemodialysis center of our hospital is the first center to implement the interactive platform in the nation. With such platform, the dialysis quality is increased and patients are able to return to the society in order to reduce the society cost.
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Keywords Nursery station whiteboard program console Intelligent dialysis machine Patient interactive system Patient Information System =PIS Instrument connection capturing framework
Yuanlin Christian Hospital
The initial purpose of the establishment of Yunlin Christian Hospital is to satisfy the treatment demand for local emergency/critical illnesses. Regarding the healthcare in Changhua area, the President of Changhua Christian Hospital, Shou-Jen Kuo has a vision: He treats Changhua as a medical city in such a way that the city hospitals in Changhua, Lukang Health Park and the Yunlin Health Park can be linked to form a healthcare network. The President Kuo’s concept is that patients can remain in institutions but healthcare personnel can be mobilized among institutions such that the equipment and medical resources at different hospitals can be centralized for management in order to provide local medical service at the medical center level. Through such arrangement, problems associated with the referral of patients for treatment can be reduced, and the heavy workloads at the operation rooms as well as the condition with constantly occupied hospital beds at the intensive care units can be relieved. As a result, Yunlin Christian Hospital has been established. With the support of the Board of Directors and the leadership of President Shou-Jen Kuo and President Kuo-Wei Lee, this new hospital aims to become the model site for the Changhua Christian Hospital System. Consequently, in various aspects of healthcare, software/hardware equipment, information technology and architecture space, the hospital has adopted the latest and highest standards in the creation of a patient-based smart and green hospital.
Medical Integration Solutions Partners Imedtac Co., Ltd.
Contact us Institution/company name : Imedtac Co., Ltd. Name : Iris Chen Contact Telephone : +886-937-707631 E-mail : iris.chen@imedtac.com
Medical Integration Solutions Partners Institution/company name : Yuanlin Christian Hospital Department : Hemodialysis Room Contact Telephone : +886-4- 8381456 Ext.1990 E-mail : 1506295@cch.org.tw 04
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Kaohsiung Veterans General Hospital Complete Cancer Team Therapeutic Radiology Information Integration System About Hospital
2018 Smart Medical Clinical Appalication 05
Our hospital was officially opened on October 31, 1990 and was established as the “Taipei Veterans General Hospital Kaohsiung Branch” at the beginning. On July 1, 1993, the hospital was restructured and upgraded to “Kaohsiung Veterans General Hospital”. In 2017, our hospital has received the honor for qualified medical center and Class A teaching hospital for the eighth time. Since the establishment to the present date, the hospital has received great appraisal and recognition from the general public. To cope with the needs and the trend of the society, our hospital has also established the Center for Geriatrics and Gerontology. The Geriatrics and Gerontology Medical Building was completed and officially opened in November 2014 for providing quality and delicate geriatrics and gerontology integrated with outpatient and hospitalization services along with the gradual development in the long-term care service. Our hospital has developed healthcare characteristics: establishment of Trauma Center, Cardiovascular Medical Center, Critical Care Medical Center, Cancer Prevention Center, Smoking Treatment Management Center, Metabolism and Weight Control Center, Medical Aesthetic Center. In addition, Ministry of Health and Welfare has also appointed our hospital to establish the Kaohsiung/Pingtung Regional Emergency Medical Disaster Response Command Center at the Emergency Department of our hospital in order to improve the emergency medical service level for the Kaohsiung and Pingtung areas. Since the establishment of the Kaohsiung Veterans General Hospital, the hospital has upheld the core values of “high quality service, ambition in innovation, care life, originated from love” and is committed to improve the regional healthcare level, actively promote community health environment, community healthcare team and support remote healthcare as well as participate in international healthcare affairs in order to develop social responsibility of Kaohsiung Veterans General Hospital and to consider the scope of impact as its own responsibility in light of achieving the vision of “Excel for excellence, Worldwide reputation”!
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits 1. Radiotherapy record electronic systems: To comply with the “Regulations Governing Medical Institution Electronic Medical Record Preparation and Management” announced by the Ministry of Health and Welfare, the hospital has qualified the certification in March 2015 such that written preparation of records is no longer necessary, which in turn is able to save papers and consumable supplies of approximately NT$ 23,000 per year. 2. Cross-platform system achievement: With the use of patient-link of identical data, the physician input time is greatly saved and input errors among different systems can be reduced. In the past, the time required for completing a non-cross platform of an initial medical record is 13 minutes on average. The new system now is able to reduced the time to 5 minutes, and the medical record completion time is reduced by 61.27%, making the work efficiency to be increased by more than two-folds from the past. 3. Staff of other departments can simply log onto the medical image transmission and storage system and input the patient medical record number in order to obtain the complete simulation positioning images, isodose distribution maps and dose-volume histograms completely for view the information directly. The entire process of image search and download requires only 30 seconds, increasing work efficiency by more than 60 times greater than in the past. 4. Monitoring statistics system: Since January 2016, the therapeutic radiology monitoring indicator has been implemented such that manual statistical analysis time can be significantly reduced and man-made deviations can be reduced in order to facilitate the timely review and improvement.
Kaohsiung Veterans General Hospital
In general, the information of radiotherapy patients is typically independent from the common system of hospitals. With the information sharing and team work integration becomes more important, the transparency of therapeutic radiology information and the convenient access thereof are subjects requiring improvements. In addition, the quality of radiotherapy has bee listed as an item for cancer quality certification and accreditation of JCT. Therefore, it is clear that the therapeutic radiology department requires significant changes in terms of both the information and administration aspects in order to catch up with such trend. Accordingly, the purpose of the system design is to establish a system capable of allowing the cancer team of the entire hospital to swiftly search the radiotherapy projects, to record the information of dose distribution maps and to monitor various radiotherapy indicators in real-time. Therefore, the nation’s first “Complete Cancer Team Therapeutic Radiology Information Integration System” covering various radiotherapy quality indicators including the medical records, therapeutic radiology meeting records, dose distribution maps, therapeutic radiology patient database and information management is completed.
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Product photos
2018 Smart Medical Clinical Appalication
(Cloud radiotherapy project interface)
(Cloud radiotherapy contouring )
(Quality monitoring interface) (Cloud radiotherapy dose-volume histogram)
(Real-time monitoring report) 07
Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Radiotherapy Cloud radiotherapy medical records Cloud radiotherapy contouring Cloud radiotherapy isodose distribution Cloud radiotherapy dose-volume histogram Database automatically registry Real-time indicators monitoring
Kaohsiung Veterans General Hospital
1. Received recognition from “Therapeutic Radiology and Oncology Journal”, and published on Issue 3 of Volume 22, September 2015: “Research on Establishment of Therapeutic Radiology Electronic Medical Record System”. 2. Department of Radiotherapy of Pingtung Christian Hospital, Department of Radiotherapy of Kaohsiung Municipal United Hospital, Department of Radiotherapy of Tainan Chi Mei Medical Center assigned personnel to visit our department for the benchmark learning of this system. 3. Symbol of National Quality (SNQ) in Medical Hospital and Clinic Category/Hospital Service Management Group certification. 4. Received the invitation for Show Chwan Industrial Credit Course Hospital Project Management Program at Institution of Hospital and Healthcare Administration, YangMing University to provide lecture on “Utilization of Healthcare Information to Assist Project- Department of Radiotherapy Real-time Quality Monitoring Project” on May 12, 2018.
Medical Integration Solutions Partners Institution/company name : Kaohsiung Veterans General Hospital Department : Department of Radiotherapy Contact Telephone : +886-7-3422121 Ext. 8227 E-mail : ccyhuang@vghks.gov.tw
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Taichung Veterans General Hospital Utilization of Smart Healthcare Technology for Outpatient Visit Process with Quality Service About Hospital
2018 Smart Medical Clinical Appalication 09
To cooperate with the national policies along with the consideration of the veterans (villages) in the central area, medical healthcare and medical education of general public, research and development, the Veterans Affairs Council, Executive Yuan established the Veterans General Hospital Taichung Branch” under the approval of the Executive Yuan on July 1, 1982. On September 16 of the same year, the hospital was in operation for medical services, and on July 11, 1988, the hospital was restructured and upgraded to “Taichung Veterans General Hospital”. Since the establishment of the hospital, under the leadership and guidance of numerous outstanding former Leaders of Mr. Chu-Yu Chao from the Veterans Affairs Council and subsequent Commissioners as well as the exceptional planning made by former Hospital Presidents, Mr. Kuang-Jui Lo et al., the hospital successfully qualified the medical and teaching hospital accreditation in 1984, and was accredited to be “First Class Teaching Hospital”. In 1988, the hospital was accredited to be “Would-be Medical Center”, and following which the hospital received the five times of accreditation results to be “Medical Center and Class I Teaching Hospital”. The medical quality and technique of the hospital have been well recognized. Furthermore, in 2011 and 2017, the hospital also qualified the “New Hospital Accreditation and Teaching Hospital Accreditation”. To provide safe, warm and high quality healthcare services to the general public, the hospital establishes excellent educational teaching place, demonstrating the outstanding research and development performance, thoroughly fulfilling predefined assignments and assume the social responsibilities as a “health guardian” of a public medical center.
Humanity Integrity Professionalism Innovation
Introduction of award winnings The heaving loading in the general public outpatient visit process is an important issue to medical centers, and Taichung Veterans General hospital actively integrates the current healthcare characteristics and health promotion concept in order to reduce the public waiting time in two primary ways:
Smart outpatient visit process integration:
Improvement of service quality: 1. Before attending to appointment, patients can use internet network to input medical condition in advance in order to allow the physicians to provide service early. 2. Introduction of medical service and health education service robot, integrating with the healthcare resource in order to provide diverse medical service. 3. Intelligent counter for real-time and annual satisfaction survey monitoring.
Taichung Veterans General Hospital
1. Integrated HIS system. From the process of registration before arriving at the hospital, outpatient consultation and medical consultation after arriving at the hospital, registration, waiting period, billing, medicine collection, the system is able to provide diverse services. 2. 2. Real-time outpatient and clinic progress search function in order to allow patients to use time efficiently. 3. Diverse payment service, including electronic payment deduction, app payment, mobile counter and self-assisted payment machine, POS machine, credit card etc.; the crossinstitution interface integrates the processes of the four sectors of the hospital end, the financial bank end, National Credit Card Center and communication operators.
Benefits 1. Diverse intelligent registration utilization rate reaches 88.87% in 2016, and the number of users exceed 1 million people. 2. The number of times of use of the diverse payment methods in 2016 increases by 67.4% higher than the number in 2015. 3. Regarding the outpatient clinic waiting time of public seeking medical service in the hospital, the waiting time saved in 2016 is 680,271 minutes, which is significantly lower by 190.8% in comparison to the period of 446,379 minutes saved in 2015. 4. The number of users using healthcare service robot is 1,698 people, the health education service robot has served 1,050 people, and the robot also detects that the public positive emotional feedback is 36.01%. 5. The overall outpatient satisfaction is above 89%. 10
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2018 Smart Medical Clinical Appalication
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Experience sharing and implementation results
Keywords Smart healthcare Outpatient visit procedure
Taichung Veterans General Hospital
In this project, through the integration of various information platforms in our hospital along with the application of the concepts of artificial intelligence, Big Data, Internet of Things, and cooperation with technology industry, healthcare with anthropomorphic robots is developed. In addition, smart services are able to link the robots with the internal network of the hospital in order to provide customized innovative 3C holistic and total healthcare with Complete, Creative and Continuous maintenance of patient health quality care demands. Accordingly, the utilization of smart healthcare technology is developed in order to provide quality service for outpatient clinic procedure. For the future outlook, it is expected to continuously promote the 3C holistic and total healthcare improvement and apply the experience gained from the current integration of smart hospital in order to provide similar counseling system hospitals and to evaluate whether horizontal expansion is to be implemented such that the resource sharing application can be achieved. The hospital will continue to head toward the goal of quality smart healthcare in order to provide personal and specialized smart care for patients and to jointly construct a safe and efficient system with employees such that the future innovative 3C new culture of Taichung Veterans General Hospital can be achieved.
Quality service Diverse payment method Real-time outpatient clinic progress
Medical Integration Solutions Partners Institution /company name : Taichung Veterans General Hospital Department : Quality Management Center Contact Telephone : +886-4-23592525 Ext. 2073 E-mail : yuanhuilai@vghtc.gov.tw
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Chi Mei Hospital Construct Communication Shared Decision Making Bridge Based on Technology Social Network Concept About Hospital
2018 Smart Medical Clinical Appalication
The hospital was established in 1968 and the original name was “Fengjia Hospital”. In November 2010, the hospital was then changed to “Chi Mei Medical Center”. Presently, the hospital has 833 emergency hospital beds, and the total number of hospital beds is 1,278. The hospital includes a total of 37 departments, such as Department of Medical Science, Healthcare Center, Nursing Department, Medical Technology and Teaching Research Departments, a total of 13 administrative departments and a total of 44 medical and hospital affair related committees. Currently, there are 3,800 employees in the hospital. The core value of the hospital is “Care, Professional, Efficiency”. The hospital also upholds the patient-based spirit along with the goals of “develop quality characteristic healthcare”, “research with innovation, cultivate quality talents”, “improve process, increase service quality” and “flexible management, sustainable operation” in order to construct the organization culture of excellent healthcare quality, guarantee patient safety and protect the benefits of patients, thereby promoting the health of the public and employees and becoming a healthcare system trusted by the public the most.
Introduction of award winnings The characteristic of a Shared Decision Making (SDM) system relies in the development of a model satisfying the modern medical operation and public communication in order to improve the medical decision making quality. Its design concept takes into the account of various elements of “auxiliary tool creation principle”, “steps for designing SDM auxiliary tools”, “define clinical issues requiring decision making”, “private cloud of SDM platform”, “foundation facility and service”, “platform and service”, “software and service”, “questionnaire design module”, “information security design”, “front-end WebAPP application program (user end)” and clinical execution procedure framework” along with the integration of contents of various aspects in order to satisfy clinical operation requirement. 13
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This system integrates the aspects of basic IT environment, mobile applications and security protection for the design of the SDM management platform. Different auxiliary tools (including texts, photos, images, multimedia, various types of files) are transmitted to patients and relatives (computers, smart mobile devices) via QR Code scan links. In addition, after patients and their relatives finish the reading of the auxiliary tools and complete the questionnaires as well as the decision making, the system is able to timely feed back such information to physicians. Physicians can then understand the needs and decisions of patients in order to conduct joint discussion with the healthcare team and to complete the medical decision.
Benefits
1. Unlimited use of equipment: The open platform can be run on mobile phones, PC and tablet computers such that it is no longer limited to one device only. 2. Diverse teaching materials: The creation of the teaching materials can be presented in different formats including printed works, multimedia and playable files. In addition, different presentation methods for one identical subject can be achieved. With the diverse teaching materials, the quality of the teaching materials is also improved such that a virtuous cycle can be generated. 3. Variety of questionnaire formats: For patients of different subjects, different intention question methods are adopted, such as structured type, perception type, response type questionnaires. The system is able to provide various types of questionnaire methods in order to satisfy the needs of healthcare personnel. 4. Boundaryless: The construction of “QR Code”, “Line link” allows the platform to be mobilized and regional barriers can be overcome. 5. Timely communication: The management platform is also integrated with the HIS system. In the questionnaire for patient's decision intention, decision-making assistant coach messages to physicians can be included in order to allow physicians to obtain important information during clinic diagnosis. 6. Possibility of research: With the instant saving of information, when there is a need for future auxiliary tool improvement or other research needs, the clinical healthcare personnel can use the database to perform analysis.
C h i Me i H o s p i t a l
The integration of the demands of SDM platform with the clinical operation models and expectations provides greater development opportunities for the Shared Decision Making system, and the following achievements can be achieved:
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2018 Smart Medical Clinical Appalication
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Experience sharing and implementation results In addition to the sharing of introduction achievement, tangible outcome further includes: effective saving of large amount of costs for paper printing. The printing of auxiliary tool handbook and intention questionnaires requires a certain budget. In the case of color printing, based on the cost calculation of NT$ 70 per copy, along with periodic revisions of the documents, it can cause a great waste of hospital budget in a long period of time. In addition, the reduction of paper printing is also a contribution to the environmental protection. Instantaneousness of questionnaire collection and usage: During the time when the system is involved in the execution of questionnaires, the system is concurrently generating data necessary for the database such that there is no need for further manual input of questionnaires. In addition, the use of data can also be instantaneous and can be retrieved for use at any time.
SDM (Shared Decision Making) Social network Mobile networking Diverse teaching materials Family joint decision
C h i Me i H o s p i t a l
Keywords
Questionnaire format
Medical Integration Solutions Partners Institution/company name : Chi Mei Hospital Department : Quality Management Center Contact Telephone : +886-6-2812811 Ext. 52955 , 52950 E-mail : safe@mail.chimei.org.tw , a50749@mail.chimei.org.tw
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National Cheng Kung University Hospital Heading Toward New Era of Pathology e-Smart Management About Hospital
2018 Smart Medical Clinical Appalication 17
National Cheng Kung University Hospital is the only national university hospital medical center and teaching hospital in the southern Taiwan, and the hospital includes a total of 34 clinical medical departments, 3 healthcare related departments and 17 administrative units. In addition to the teaching and service, the hospital also has plenty of research resources in order to integrate researches and clinical services as well as to achieve thorough implementation. Since the establishment in 1988, the hospital is committed to the mission statements of “teaching, research and service” and demonstrate exceptional ability in bearing the social care responsibilities in handling “emergency illness, critical illness, difficult treatment, rare disease”. The hospital also sets the goal to balance the medical difference between the southern and northern regions of Taiwan in order to reduce the inconvenience of patients traveling long distances for medical treatment. In addition, the hospital positions itself for the role of transportation, support and leader in the medical treatment of emergency/ critical illness, difficult treatment and rare disease. Core value: National Cheng Kung University Hospital shapes the culture of the hospital based on the core value of “live, love, excellence, innovation” , which serve as the basis of the medical characteristics of the hospital. In addition, such culture is also developed to be the tradition and system of the hospital. Vision: In addition to the commitment in becoming the best healthcare center for the general public, National Cheng Kung University Hospital also heads toward the vision of best teaching, research and working environment for medical personnel in light providing a medical environment of greater quality to the general public in the southern region of Taiwan.
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits 1. Establish patient identification electronic information system: Before obtaining samples from patients, medical personnel shall perform patient identity identification operation. 2. Sample label barcode control: The sampling of pathologic tissue specimen utilizes barcodes in order to prevent sampling personnel from making incorrect attachments of patient labels. 3. Specimen boxing and transportation barcode control: Packaged specimens are placed inside the transportation boxes and locked. Then, a unique identification code is attached onto each box, and the box seal barcodes are used to control the specimens. 4. Information control for specimen transportation: Establish cross-department information platform to control the specimen delivery for examination progress and to track the status of the specimens. In addition, the specimen delay for delivery and examination warning function is also provided on the platform. 5. Establish pathology laboratory barcode information system: Improve steps of high risks, and reduce of the tissue specimen handling process in the laboratory. 6. Decrease of specimen labeling error rate: reduced from 0.054% to 0%. 7. Integrate pathologic tissue sampling operation procedure and information system of the entire hospital: improve specimen transportation safety. 8. Informationization process with reduction of complicated manual inspection operation: The daily last batch of tissue specimen same-day examination rate at the operating room is increased from 19.5% to 58.7%, and the timing of examination is improved.
Na t i o n a l C h e n g Ku n g Un i ve r s i t y H o s p i t a l
National Cheng Kung University Medical Center focuses on critical medical treatments and values the medical safety of patients. The number of pathologic biopsy examination cases reaches 42,000 per year. If there is any error in the specimen label, replacement during transportation process, loss and erroneous placement of biopsy process, then it may cause irreversible injuries and delay of treatment to patients. Therefore, how to establish a set of e-information system capable of preventing human errors, automatically identifying errors and tracking status of pathologic biopsy specimens in order to increase the patient treatment safety and quality is the goal of this project. We thoroughly inspect the biopsy examination operation process, including the handling process before and during examination, we also convene cross-department and multi-division meetings for the entire hospital in order to find steps of high risks and to introduce the e-information system standard operation process for the entire hospital; thereby achieving the objective of complete pathologic specimen status and safety monitoring.
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Product photos
2018 Smart Medical Clinical Appalication
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Experience sharing and implementation results
Keywords Surgical pathology Tissue Label barcode Electronic management Intelligent management
Medical Integration Solutions Partners Institution/company name : National Cheng Kung University Hospital Department : Surgical Pathology Division of Pathology Department Contact Telephone : +886-6-2353535 Ext. 2644 E-mail : n013588@mail.hosp.ncku.edu.tw
Na t i o n a l C h e n g Ku n g Un i ve r s i t y H o s p i t a l
The hospital successfully promotes the pathologic tissue specimen status identification and safety operation system, and the following is achieved: 1. Use of barcode for identification to replace the manual identification work such that the identification time is shortened, and the identification accuracy is increased. 2. Through integrated information platform, one unique code is used throughout the entire process to track the specimen status in order to ensure the timing of examination and the safety thereof. 3. Examination sheet systematic linkage and integration is able to reduce error rate in the manual sheet issuance and specimen placement. 4. Pathology laboratory barcode information with articulation and receipt signing system is able to reduce the receipt singing operation error rate.
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Yuanlin Christian Hospital Share Care Gestational Diabetes Cloud Care Service About Hospital
2018 Smart Medical Clinical Appalication
The original purpose of Yuanlin Christian Hospital during the establishment thereof was to satisfy the demands for local emergency and critical illness treatment. With the consideration of the great medical demands from the public and under the macro-planning of the President of Changhua Christian Hospital, Yunlin Christian Hospital was established. The hospital has adopted the highest standards in various aspects of medical care, software/hardware equipment, information technology, architecture space in order to construct a patient-based smart and green hospital. Regarding the smart hospital development at Yuanlin Christian Hospital, computer-aided technologies have been implemented in order to increase the medical care quality and to reduce the possibility of human errors. Consequently, in all aspects of outpatient clinic, emergency clinic, hospitalization, examination and testing, operating room, administrative management etc., intelligent system has been gradually introduced. The smart examination system at Yuanlin Christian Hospital allows the entire process from billing to examination machine to be linked and controlled by computers. After the billing of patients, the items requiring examination are printed directly by the computer, and labels are automatically attached onto the test tubes for delivery to the designated blood collection area. After the nursing personnel completes the blood collection, the test tubes can be automatically distributed to the examination machine for such item; therefore the process is fast and accurate.
Introduction of award winnings This project is mainly directed to personal customized care for women with gestational diabetes for active control of blood sugar during the pregnancy period in order to reduce the occurrence of improper perinatal delay and chronic disease. The hospital uses app software for transmission in order to provide online interactive healthcare services with individual coordinator or physician. An “active individual motoring care system” is established to provide “continuous information capturing and analysis”, “active message notification and handling” in order to facilitate the clinical healthcare personnel to obtain abnormal value messages timely such that the reduction of the risk of gestational 21
Humanity Integrity Professionalism Innovation
diabetes to the maternal and fetus during the pregnancy period can be managed. With the integration of the mobile phone app, the blood sugar measurement values can be managed, and the cloud platform is able to monitor the gestational diabetes at all time through the “Great ‘Pregnancy’ e-Helper~Health Management Monitoring Care” system used by pregnant women in order to reduce the risks associated with the gestational diabetes.
Create golden triangle for “Share Care Cloud Care Service
The GDM cross-team integrated care outcome and performance evaluation conducted based on the integration of the hospital: 1. . Number of telephone interviews: The number of telephone interviews is reduced to 1.25 times on average per month, and the time is shorted to 3.75 minutes. 2. Health education period: return clinic diagnosis is saved by approximately 20-25 minutes. 3. Reduced outpatient time and number of times: The average clinic number of times and clinic period (minutes) are reduced from 8 times to 4 times, and the clinic period is reduced form 15 minutes to 5 minutes; therefore, the clinic process is improved with greater smoothness. 4. Document processing time: It is saved from 25 minutes on average to 5 minutes. 5. Change of diet to reach the nutritional goal percentage: Overall change of die to reach the nutritional goal percentage is increased by 24.4%, carbohydrate food target achievement is increased by 26%, protein target achievement is increased by 32.6%, fats target achievement is increased by 20%, vegetable consumption target achievement is increased by 17.5%. 6. Patient feedback: Blood sugar self-monitoring achievement rate: Increased from 47% to 75%. Care service satisfaction: Rating of “very satisfied” reaches 95% due to the convenience of care process, feedback, effective control of blood sugar during pregnancy period and the reduction of stress during pregnancy period.
Yuanlin Christian Hospital
Benefits
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Product photos
2018 Smart Medical Clinical Appalication
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Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Gestational Diabetes GDM Active individual monitoring care system APP management of blood sugar measurement value Great ‘Pregnancy� e-Helper Continuous information obtaining
Yuanlin Christian Hospital
Since January 2017, the hospital has started to integrate the Division of Obstetrics & Gynecology, Division of Metabolism & Endocrinology, Diabetes Health Education Center, Nutrition Room, Delivery Room, Postpartum Ward and Nursery Room as well as the basic gynecology and obstetrics hospitals and clinics in order to provide convenient and complete healthcare to pregnant women and fetal. To further establish greater cooperative care model with the basic gynecology and obstetrics hospitals and clinics, and to provide readily and timely healthcare under the cross-department communication in order to ensure the consistency and reliance of gestation diabetes care is the goal for achievement with great effort and commitment of the hospital, and such commitment is also to improve the care of pregnant women with gestation diabetes. Through the integration of the entire medical team with the Division of Obstetrics & Gynecology, Division of Metabolism & Endocrinology, health educators, dietitians, in formation engineers, patients and relatives, a care team is established in order to provide interactive health education and medical consultation. Such innovative cloud service can be applied to home care of patients with gestation diabetes in order to effectively improve care quality during pregnancy.
Medical Integration Solutions Partners Imedtac Co., Ltd.
Contact us Institution/company name : Imedtac Co., Ltd. Contact : Iris Chen Contact Telephone : +886-937-707631 E-mail : iris.Chen@imedtac.com
Medical Integration Solutions Partners Institution/company name : Yuanlin Christian Hospital Department : Health Education Center Contact Telephone : +886-4-8381456 Ext.1272 E-mail : 1504221@cch.org.tw 24
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National Taiwan University Hospital Use of Cloud Computation Artificial Intelligence in Non-urban Area Atrial Fibrillation Screening About Hospital
2018 Smart Medical Clinical Appalication 25
As Taiwan if currently facing the problems of population aging, imbalanced medical resources between cities and rural areas, remote and mobile healthcare services are solutions to such problems. Regarding the needs for utilization of remote monitoring method construction of e-system, new remote medical care services, in August 2009, the “Remote Care Center’ was officially established. The Center is able to provide 24-hour remote consultation and offer health management according to the individual condition of the patients. In addition, the Center is able to provide assistance in handling palindromic or emergency situations. Case management specialists are able to continue to provide health education and nursery consultation. Therefore, it is able to enhance the healthcare concept of prevention prevailing over treatment for patients in order to improve individual’s awareness in health promotion, proper personal health management and care consultation. The Center has three main characteristics an innovations, including (1) customized 24-hour remote care real-time service, (2) smart remote care platform, (3) diverse remote care services. The remote care services are applied to patients with chronic diseases, including: patients with hypertension, diabetes, heart failure, chronic cardiovascular disease. In addition, for patients with chronic cardiovascular disease, in addition to the care of chronic disease, the atrial fibrillation screening implemented in 2016 will be able to expand the service to disease screening and to service greater number of people.
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits
In this project, minimum manpower is able to complete the cloud computation artificial intelligence atrial fibrillation screening, and subjective and objective evaluations have been conducted to verify that the feasibility of this method. The implication of such method is as follows: 1. In response to the recommendations on treatment guidance provided by the American Heart Association and European Society of Cardiology, pulse diagnosis or ECG examination is to be performed on seniors (age>65) in order to detect atrial fibrillation. 2. The minimum manpower and procedure are able to compensate the shortcoming of the insufficient healthcare manpower at non-urban areas in order to improve the healthcare accessibility. 3. Tablet computer application program interface facilitated for operation is able to expedite the atrial fibrillation screening. 4. The use of cloud computation artificial intelligent method in performing data storage, sorting, computation, statistics and diagnosis can be the first line of screening method. In addition, it is able to handle large database computations at a greater scale. 5. The Health Promotion Administration, MOHW, emphasizes on the promotion of public health. If the control of atrial fibrillation is omitted, the impact on the health of older age population can be significant. Therefore, through the national screening, the health of citizens can be improved, and the use of cloud computation artificial intelligence in performing atrial fibrillation screening is a feasible method.
National Taiwan University Hospital
For the use of cloud computation artificial intelligence in non-urban area atrial fibrillation screening, the remote care center portable ECG unit of National Taiwan University Hospital (NTU Hospital) is utilized in conjunction with the tablet computer application program interface for easy operation, along with the remote care data viewing platform built-in with the ECG automatic determination program developed by the TELEHEALTH study group of NTU hospital in order to perform the non-urban area atrial fibrillation screening. In comparison to professional cardiology physicians, the sensitivity of the atrial fibrillation sensitivity is 95.5%, specificity is 97.7% and the satisfaction of screening is of the score of 92.1 points. This prospective research has not only received recognition from the JMIR mHealth and uHealth journal, but also provides a convenient and feasible method to prevent atrial fibrillation. People with atrial fibrillation are found to have 5 times greater potential of risks in stroke and 2 times greater potential of death rate. Presently, despite that there are anticoagulants capable of reducing the hazards of stroke caused by atrial fibrillation, nevertheless, it is estimated that approximately 1/4 of people with atrial fibrillation have not been diagnosed, which is mostly due to their residence at remote or non-urban areas. In this project, with minimum manpower, the utilization of cloud computation artificial intelligence is able to overcome come the insufficient healthcare manpower in order to improve the non-urban area healthcare accessibility such that the public health can be achieved.
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2018 Smart Medical Clinical Appalication
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Experience sharing and implementation results National Taiwan University Hospital
The cloud computation artificial intelligence for non-urban area atrial fibrillation screening was started on March 11, 2016, and the screening was conducted at the areas including Jinshan District, Wanli District, Shimen District and Sanzhi District of New Taipei City in cooperation with the community events. Up until the date of August 32, 2016, there were 922 local residents and 967 entries of records for accepting the cloud computation artificial intelligence atrial fibrillation screening, and among which seniors of ages older 65 accounted for 47.6%. In addition, 22 residents were examined to have atrial fibrillation (disease prevalence rate is 2.4%). Those residents have also been informed through writing and telephone for their hospital treatment and follow-up. Among the 967 entries of ECG screening and examination data, there are only 2 entries of data that cannot be determined due to errors. In comparison to professional cardiology physicians, for the cloud computation artificial intelligence diagnosis of artificial fibrillation, the sensitivity of the atrial fibrillation sensitivity is 95.5%, specificity is 97.7% and the negative predictive value is 99.9%. The overall satisfaction of the residence on the atrial fibrillation screening is of the score of 92.1 points. In addition, most of the residents consider that such method is fast and convenient, and they are willing to recommend relatives and friends to perform atrial fibrillation screenings. Both the subjective and objective evaluations indicate that the use of cloud computation artificial intelligence in atrial fibrillation screening is feasible.
Keywords Cloud computation Atrial fibrillation Artificial intelligence Screening Non-urban area
Medical Integration Solutions Partners Institution/company name : National Taiwan University Hospital Department : Remote Care Center Contact Telephone : +886-2-23123456 Ext. 62872 E-mail : telehealth@ntuh.gov.tw 28
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Chiayi Chang Gung Memorial Hospital Promotion of Resident Physician Milestone Evaluation Mechanism and Information Utilization for Efficiency Improvement
About Hospital 2018 Smart Medical Clinical Appalication 29
Ghang Gung Memorial Hospital values the aspects of service, teaching and research as the primary objectives. Since the establishment in 2001, Chiayi Chang Gung Memorial Hospital is committed to the development of quality teaching environment with local characteristics and complying with the domestic and international development trends. In addition, the hospital has also formed the Department of Education as a dedicated administrative department in assisting the execution of various tasks in the teaching field, implementing the goal of teaching research and service as well as commitment in the development of teaching software/hardware and cultivation of relevant talents. In recent years, the hospital is focused on the promotion of informationization operation, and presently, the hospital has completed the intern medical student learning portfolio system, general medical student learning portfolio system after graduation, medical personnel learning portfolio system. Currently, the hospital further actively executes the development and operation of resident hospital milestone evaluation system in order to allow all operations to head toward the direction of an informationized, paperless, fast, accessible and convenient system in the future. In addition, the learning content of the system will be improved continuously, the medical teaching quality of the clinical teachers and resident physicians will be improved such that consequently, the general public is able to receive professional, safe and constantly improved medical care.
Humanity Integrity Professionalism Innovation
Introduction of award winnings The purpose of the establishment of this system project is to improve the drawbacks of the current milestone evaluation operation procedure, to plan the resident physician competence evaluation system informationization and to integrate the online teaching platform function in order to properly apply the evaluation system in the assistance of the development of “Resident Physician Competence Development Project” and to achieve the implementation of the medical education based on the resident physician training with qualified competence as the final goal. In addition, through the automatic recording and evaluation result of the system, administrative and enormous data statistical analysis can be reduced, the burden of documentation operations can be relived and the reduction of amount of paper usage contributes to environmental protection efforts. The following tasks are achieved:
(I) Teacher aspect:
(II) Student aspect: 1. Through learner-based learning, students are able to self-control the learning progress without time and space limitations 2. Understand and arrange the clear goals necessary for one’s own learning through milestones.
Benefits I.
Student aspect Establish personalized milestone learning portfolio in order to understand the learning progress readily.
II. Teacher aspect
Chiayi Chang Gung Memorial Hospital
1. Improve training course and student ability evaluation time and regional limitations 2. Obtain individual student learning status and progress 3. Relatively more timely feedback to students, two-way communication and provide individual guidance and knowledge sharing according to the level of each student.
Improve the teaching quality and work benefits of clinical teachers, and system is able to perform automatic broadcasting and urging for completion of progress.
III. Innovation
1.Electronic milestone evaluation system and relevant operation 2. the student learning evaluation progress and to use various mobile devices to achieve the real-time evaluation feedback.
Ⅳ . Benefits
The implementation of the system is able to reduce NT$ 350,000 of personnel cost and 20 working hours per month as well as to save approximately 28,800 pieces of A4 papers (approximately NT$ 23,040). In total, it is able to save NT$ 36,920 and to reduce 20 working hours; consequently, the reduction of resource consumption and cost reduction can be achieved. 30
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â…¤ .Promotional learning
The system allows teachers and students to communication in two-way feedbacks without space and time limitations such that it is able to achieve the benefit of learning at any place at any time. Furthermore, the system is equipped with the personalized setting alert in order to reduce the time required for manual notification and operation.
Product photos
2018 Smart Medical Clinical Appalication
Experience sharing and implementation results The purpose of the establishment of the resident physician training competence evaluation system is to implement the competence-based medical education in order to construct a prospective learner-based online learning platform. Such system is able to not only improve the teaching quality and work benefits of clinical teachers but also readily record the learning condition of students in order to perform the milestone evaluation and to thoroughly track the learning performance of each resident physician and to provide relevant assistance. 31
Humanity Integrity Professionalism Innovation
Keywords Competence-based Medical Education (CBME) Milestone Teaching platform E-learning ADDIE instructional model
Chiayi Chang Gung Memorial Hospital
In addition, it is also able to conduct overall evaluation on the medical training and education quality of such medical division as well as to overcome the drawbacks of inconvenience of paper use. Consequently, the system is able to further analyze relevant teaching performance and to provide it for use in medical education. Despite that the system has only been executed for a short period time, during its actual operation process, initial performance has been achieved. To allow the breadth and depth of the platform to be more complete, the system learning content is to be improved continuously, and the following system correction main points are summarized: 1. Improve course and learning content in order to allow course content to be concise and directed to the key points. 2. Addition of interactive function to improve the social cooperation ability and user participation. 3. Guide students to greater external teaching materials and courses in order to obtain learning contents. 4. Periodically convene meeting to review and confirm execution outcome.
Medical Integration Solutions Partners
Cooperating company: Sheng-Mao Newmedia International Media Co., Ltd. Institution/company name: Chiayi Chang Gung Memorial Hospital Department: Department of Education Contact Telephone: +886-5-3621000 Ext.2873 E-mail: kan200068@cgmh.org.tw
Medical Integration Solutions Partners
Institution/company name : Chiayi Chang Gung Memorial Hospital Department : Department of Management Contact Telephone : +886-5-3621000 Ext.2442 E-mail : kan200068@cgmh.org.tw 32
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Tri-Service General Hospital Diverse Medical Record System Integrated with Medical Record Education About Hospital
2018 Smart Medical Clinical Appalication
Tri-Service General Hospital is committed to clinical healthcare, teaching and research. The medical service subjects include in-active-service soldiers, military dependents’ villages and general public, and the hospital is a teaching hospital of the medical center class accredited by the Ministry of Health and Welfare such that it has played an extremely important role in the healthcare of the nation. During the normal time, the hospital is able to provide medical service to the general public and the clinical teaching and internship of students of National Defense Medical Center; in addition, during wartime, the hospital is also responsible for the mobilization support and integrate the control of medical resource missions. To cope with the fast change of the healthcare environment and seek for military medical education overall development, the hospital cooperates with the national policy to continuously improve the diagnosis technologies and cooperates with the future development objectives of each division. The hospital will continue to invest in the purchase of advance instruments and equipment in order to service the expanded patient quantity and to provide holistic medical care environment as well as the best medical service to both military and general public. Plan relevant medical services of electronic medical records, radiation injury prevention, tourism medicine and international healthcare according to the medical mission requirements. Each year, outstanding medical personnel are selected and assigned to various domestic and international medical centers for learning of new medical knowledge and skills such that under the update of software and hardware, the hospital is able to provide international-class quality medical service and operation ability to national military, military dependency and general public of healthcare. The hospital is the only medical center at the northeast region of Taipei City and is the best choice of medical service for residents in Neihu, Nangang and Xizhi areas as well as the transportation for military solders of emergency and critical illness. The hospital provides the best care and security as a vertically integrated medical center to satisfy the medical demands at all levels including regional hospitals, local hospitals and clinics.
Introduction of award winnings In 2015, the hospital developed the electronic medical records equipped with both texts descriptions and graphics in light of integrating with the medical system information, achieving cross-department communication, team coordination and medical education. 33
Humanity Integrity Professionalism Innovation
Benefits Based on the active utilization of clinical diversification, electronic medical record system is able to achieve more effective communication for the medical care cross-field team and to obtain the latest medical condition dynamic changes of the patient. Consequently, the physician and patient communication can be improved, greater medical can be provided and share care performance can be achieved while promoting a quality clinical education environment. Through the diverse medical record system integrated with medical education, the teaching correction and comment frequency of attending physician is increased from 41.1% in 2015 to 72.1% in 2016, and the medical record witting quality advantages ratio is increased from 5% to 7%. The error ratio is reduced from 3.0% to 1.0%. In terms of the learning during practice for maintaining physician-training advantages, the resident physician professional license examination qualification is increased from 94.0% to 100.0%. In 2016, the graduates of medical school qualification rate of the entire country were 88.1%, and our hospital qualification rate was 92.4%. In terms of share graphics being used to improve the share care and the communication between physician and patient,it is able to allow medical students to understand the disease change process, to perform in-person communication with the patient for medical history survey and physical examination.
Tri-Service General Hospital
With the use of the electronic medical record equipped with both text description and graphics, it is able to provide a platform for clinical teaching and medical record guidance in order to facilitate the improvement of the medical record quality and healthcare effect. Furthermore, in March of the same year, the electronic medical record expert consultation conference and observation of electronic medical record development was held, and in September of the same year, the electronic medical record equipped with text description and graphic expert seminar was held. In February 2016, the electronic medical course system was officially in operation. The Problem-Oriented Medical Record (POMR) such that during the hospitalization, all of the problems of the patient are listed, including the past medical history, current medical history and emergency medical history. The medical record includes the “Latest report within 3 days�. Therefore, during the inspection of patients, if there is any change of the current condition of the patient, any new test report and change of prescription, such information can be viewed readily. Furthermore, since medical knowledge is updated continuously, each dynamic problem of the electronic medical record has a hyperlink for linking with the PubMed and Up to Date. Therefore, physicians are able to obtain the latest journal document information and the PGY core course education case link function in order to improve the relevant research and learning of the team. In addition, the system is also equipped with the anti-malpractice function in order to perform online monitoring on the physician medical record content such that if the content has a similarity level exceeding 70% as the previous record, then the file cannot be saved. Furthermore, it can also use data analysis to allow the attending physician to clearly understand the frequency of personal revision and correction of medical record.Through real-time interactive feedback system, the traditional teaching model is changed and the interaction between teacher and students can be improved in order to achieve the two-way communication and teaching clinic.
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With the use of lively and novel teaching method, the traditional lecture course time is changed to the focus on problem-solving and the extensions of discussion in order to allow students to have more efficient learning as well as to develop the thinking and practical skills at the same time. Regarding such teaching clinic courses, the satisfaction of medical intern students is increased from 38.5% in 2015 to 89.2% in 2016, and it even reaches 97.8% in 2018, which is nearly 100%.
Product photos
2018 Smart Medical Clinical Appalication
Fig.1 Excellent POMR structure: List out all problems of the patient via the problem-oriented method. Then, for each problem, evaluation analysis is provided and treatment plan is proposed. By applying the diverse medical record system to the integration of medical record education, resident physician education and attending physician education corrections and comments in order to achieve more effective communications for the medical care cross-field team, to quickly understand the patient’s latest condition dynamic changes, to enhance the communication and share care performance as well as to improve the quality clinical education environment.
Fig.2 Text and graphic integration: The medical record includes the “Emergency value reporting”, “Latest report within 3 days and change of medical compliance”. Therefore, during the inspection of patients, if there is any change of the current condition of the patient, any new test report and change of prescription, such information can be viewed readily.
Fig. 4 Tri-Service General Hospital electronic medical record system diversification integrated with medical record education for sharing to various regions worldwide Fig. 3 - Friendly user interface - Up To Date, PubMed 35
Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Electronic medical records Diversification POMR (Problem-Oriented Medical Record) Graphic and text Prevent copy and paste Friendly use interface
Tri-Service General Hospital
This set of diverse electronic medical record system the latest integrated report of the 3-day records of the patient can be viewed at once such that that patient checkup work can be more effective”, and some also believes that “such horizontal and vertical integrated medical records makes the learning path clearer such that it provides an overall viewing from a different and higher level in order to achieve the holistic care”. In 2016, at the Association for Medical Education in Europe (AMEE) held in Barcelona, Spain, Tri-Service General Hospital provided a verbal presentation on the education research outcome: “use of dynamic problem overall table to complete the healthcare matrix is able to achieve crossfield cooperation in care and education”. In 2017, in Finland, the hospital also shared that “use of electronic medical record along with flip learning for health care matrix is able to improve the performance of PGY students”. The next stage of development of electronic medical records is that after physicians complete the patient check-up, the artificial intelligence is able to automatically complete the medical record content according to the instructions made by the physicians at that time, and the blood collection and image report can be automatically edited into the medical record. For different values, there is a description, and through artificial intelligence, the electronic medical record can swiftly and correctly obtain the data required in order to properly perform patient care and to improve patient safety. The time saved from the procedure is beneficial to physicians to devote greater time in patient care and research works in order to improve the medical care quality.
Medical Integration Solutions Partners Institution/company name : Tri-Service General Hospital Department : Medical Record Information Section Section Chief Mei-Chun Wang Contact Telephone : +886-2-87923311 Ext.12519 E-mail:450228@ndmctsgh.edu.tw , wangmeichuen@gmail.com
Medical Integration Solutions Partners Institution/company name : Tri-Service General Hospital Department : Planning and Management Section Major Chia-Jen Hu Contact Telephone : +886-2-87923311 Ext.16357 E-mail : hcj82374@gmail.com , zeroflygo@mail.ndmctsgh.edu.tw 36
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Chi Mei Hospital Patient-Oriented Spiral Visual Design Team Communication Teaching Platform
About Hospital
2018 Smart Medical Clinical Appalication 37
The hospital was established in 1968 and the original name was “Fengjia Hospital”. In November 2010, the hospital was then changed to “Chi Mei Medical Center”. Presently, the hospital has 833 emergency hospital beds, and the total number of hospital beds is 1,278. The hospital includes a total of 37 departments, such as Department of Medical Science, Healthcare Center, Nursing Department, Medical Technology and Teaching Research Departments, a total of 13 administrative departments and a total of 44 medical and hospital affairs related committees. Currently, there are 3,800 employees working at the hospital. The core value of the hospital is “Care, Professional, Efficiency”. The hospital also upholds the patient-based spirit along with the goals of “develop quality characteristic healthcare”, “research with innovation, cultivate quality talents”, “improve process, increase service quality” and “flexible management, sustainable operation” in order to construct the organization culture of excellent healthcare quality, guarantee patient safety and protect the benefits of patients, thereby promoting the health of the public and employees and becoming a healthcare system trusted by the public the most.
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits The system function is divided into 3 main directions: 1. All professions of the clinical operation system are to be integrated into one screen, and colors are used to distinguish the type of professions. 2. The screen of each profession information system needs to be re-examined such that it is divided into the internal, external information communication message areas in order to provide important evaluation and handling. 3. Establish communication message information area for clinical uses. The outcomes demonstrated are as follows:
Chi Mei Hospital
Medical care refers to the share care of patients of personnel from various professional fields. If the personnel of different occupational professions have insufficient understanding on the care content of others, how would the medical team member obtain their own desired assistance? In addition, how would each profession take over assignments in order to provide seamless medical care to patients? During the clinical learning process of students, students are required to not only improve one's professional skills, they also need to understand whether the medical care received by patients are complete, whether there is a need for assistance from other professionals. If personnel cannot swiftly understand patients’ conditions but merely perform takeover of assignments for procedural needs, then the daily records formed by discrete sections of information often result in incomplete medical treatment record of patients. In view of the above, the initial idea for the development of this platform is to adopt the patient-oriented method to develop a platform that is convenient for the use by all occupations and professionals.
1. Completely patient-oriented: The platform planned by the hospital adopts the patientoriented design, and patients are able to accept care from various professions during the period of hospitalization without causing bias of any profession. 2. Dynamic spiral presentation: The system characteristic relies on a nursing type of profession not participating in the care is not presented on the screen, and only the care professions actually participated in the care are presented. It is a single and real-time integrated overall presentation such that it prevents errors in the clinical determination on integrated care service. 3. Reduced search time: Only one button in 1 second is able to obtain the information desired in order to perform discussion and to effectively save the system data search time during the teaching process. 4. Clear message transmission and reception: It is able to clearly understand which types of professional personnel have obtained relevant information of messages. 5. Record integrity: It is able to provide physicians with integrated care record information in order to ensure the integrity of records. 38
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2018 Smart Medical Clinical Appalication
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Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords
Chi Mei Hospital
After the construction of the platform, it is consecutively linked with the tasks to communicated by each profession with the team, and the platform is already implemented at the mobile patient check-up such that during the patient check-up conducted by the team, it is able to know the suggestions of each profession immediately; therefore, during the communication with patients, the suggestions made by all professions can be provided to patients. Consequently, it is able to achieve the planning objective of “ patient-oriented healthcare”, “independent (I) team conversation (WE)” for sharing of professional communication, information sharing and team work. The integrity of the teaching process record is able to integrate the recording time sequence of each individual case participating care profession type. Teachers are able to use the team communication platform to perform case discussions, and students can enter the system to perform timely learning and thoughts. In addition, teachers can also perform immediate feedback records in order to save students’ time in data collection such that the share platform discussion can be performed to achieve the setting of common channel. Consequently, the teaching IPE and IPP performance learning improvement goal can be achieved.
Spiral shape Visual design Team care Teaching platform Patient-oriented
Medical Integration Solutions Partners
Institution/company name : Chi Mei Hospital Department : Quality Management Center Contact Telephone : +886-6-2812811 Ext. 52955 , 52950 E-mail : safe@mail.chimei.org.tw , a50749@mail.chimei.org.tw
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Kuang Tien General Hospital Function-Oriented Talent Cultivation and Training Development System About Hospital
2018 Smart Medical Clinical Appalication 41
The former name of Kuang Tien General Hospital was “Ren Sheng Hospital”, and the hospital was established by Dr. Tung-Chung Wang in 1913. In 1921, the hospital changed its name to “Yang Jen Hospital” and was further changed to “Kuang Tien Hospital” in 1938. In 1987, Dr. Nai-Hung Wang, the President of the hospital, was committed to quality improvement, increasing of medical efficiency and increasing the number of hospital beds. In 1996, Dajia Branch was established and provided the medical accessibility to residents at Dajia area. In 2005, Chang-Ching hospital site was established in order to allow the medical service scope to extend from preventive medicine, emergency healthcare to chronic healthcare. In 2010, the hospital received the highest level of “outstanding” for the new hospital accreditation in 2010. In 2012, Shalu hospital site qualified the severe level of accreditation standard and became the severe first aid responsibility hospital. In 2013, Dajia hospital site qualified the severe level of accreditation standard and became the severe first aid responsibility hospital, and the hospital also quantified the teaching hospital accreditation by Joint Commission of Taiwan (JCT) in 2013. In 2014, the hospital qualified the hospital accreditation of JCT; in 2018, the hospital qualified the teaching hospital accreditation of JCT.
Humanity Integrity Professionalism Innovation
Introduction of award winnings The hospital develops the functional demand evaluation system to precisely manage the hospital training goals. The system is able to analyze various functional demands in order to define various functional demand source aspects of different occupations inside the hospital. This system integrates the function analysis system, personal work plan system and course management system in order to provide quantified evaluation data, to analyze the functional gaps due to the employees and to determine the difference between the function of employees for their current jobs and the future requirements necessary for performing the such jobs. Consequently, function-oriented training requirements of employees can be established in order to use such requirements as the basis for the training and development of the human resource in the organization.
1. The “personal work instruction and IDP” system is integrated to link with the “performance evaluation” and “indicator management” system. 2. Subjects are selected according to the training objectives in order to improve the personnel core functions and abilities. In addition, online examinations are designed to allow students to perform testing of one’s ability after the completion of the course. 3. Employee learning passport to manage self-function gap development profile at any time. 4. Student satisfaction survey provides the open type submission of course requirements in order to enhance the student feedback mechanism; in addition, through self-awareness of the staff, they are able to participate in courses actively.
Kuang Tien General Hospital
Benefits
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2018 Smart Medical Clinical Appalication
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Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Functional analysis Function platform Professional function Function management Core function
Kuang Tien General Hospital
Since 2011, the hospital has introduced the function analysis and work analysis project plans, (collection of documentation, organization of various functional job descriptions, questionnaire survey, staff interviews) in order to form the function dictionary, stipulate the “employee function development manual” and construct the “functional platform”. Plan the core functions, professional functions and management functions according to the work knowledge and skill described in the job function description such that a total of 4 core functions, 13 management functions are constructed; in addition, 13 profession types and 60 professional functions of professional types are completed. In 2012, the hospital developed the electronic personal job description system and the function management system along with the construction of function evaluation procedure. In 2013, the hospital integrated the function analysis system and the educational training system in order to link with the functional gap training procedure. In 2014, the peer evaluation mechanism was introduced into the function analysis to achieve 306 all-round evaluation. In 2015, the hospital introduced the indicator evaluation system in order to integrate the personal annual goal and function management system
Medical Integration Solutions Partners
Institution/company name : Kuang Tien General Hospital Department : Medical Quality Division of Management Center Contact Telephone : +886-4-26625111 Ext. 2001 , 2002 E-mail : quality@ktgh.com.tw
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MacKay Memorial Hospital Ready for One Fixed and One Flexible Day-off ď žMultifunction Nursing Workshift Scheduling System About Hospital
2018 Smart Medical Clinical Appalication
In recent years, as the medical environment becomes more complicated, demand increases due to insufficient resources, population ages and advanced technology evolves, hospitals are applying information technology to increase patient safety, to improve medical quality and to remote operation efficiency such that hospitals are transforming from traditional hospital to smart hospital in order to create new values for medical service, which is the goal for MacKay Memorial Hospital. MacKay Memorial Hospital provides physical and mental holistic medical treatments with professional care quality from various different teams and is committed to all details of medical quality and patient safety along with the highest goal of the pursuit of medical excellence. In addition, various resources are integrated such that the services are expanded from the internal of the hospital to community, remote areas, offshore islands or even foreign countries internationally. Moreover, high-end health care and precise management are further introduced along with the integration of cloud information such that the benefits and energy are increased in order to allow the medical service to advance further to a new era while receiving great reputation therefrom.
MacKay Smart Hospital Overall Institution Logo 45
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits I
Economic benefit : (1) Reduce administrative handling time of supervisors: save 72 days of working hours. (2) Reduce the auditing time of Human Resource Office: Save working 2 days of hours. (3) Reduce printing and storage space cost II Reduce risks of noncompliance of laws and regulations Ⅲ Improvement of satisfaction : Personnel can check the workshift schedule,schedule workshift, change of workshift at anytime. Supervisors also save the time for statistical calculation of working hours and
MacKay Memorial Hospital
Workshift scheduling is a frequent, tedious and time consuming task for nursing supervisors. To schedule workshifts, the working hours all personnel need to be scheduled first, and there is a need to schedule 3 workshifts for patient care and to calculate the hourly wage, overtime fee and night shift fee for each personnel. After the amendment of the Labor Standards Act for one fixed and one flexible day-off, the fee calculation becomes even more complicated. To overcome the aforementioned problem, MacKay Memorial Hospital has established the “Multifunction Nursing Workshift Scheduling System”. The objective is utilize the system introduction to provide the accumulative calculation on the statistics of night shift fee/overtime fee, working hours, number days of annual leave and outstanding hours in compliance with the regulations of the Labor Standards Act, as well as to allow personnel to be able to self-determine the handling method for the working hours. This system is able to assist supervisors in performing the workshift scheduling and labor management such that the workshift scheduling process can be simplified, time for workshift scheduling can be reduced while increasing the work performance and overcoming problems caused by manual workshift scheduling operation.
overtime fee, night shift fee.
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Product photos
2018 Smart Medical Clinical Appalication
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Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Nursing workshift scheduling Labor Standards Act
MacKay Memorial Hospital
This system completely satisfies the requirements of the regulation for one fixed and one flexible day-off. Through informationization handling, in case of any changes of the laws and regulations, the information engineer is required to perform backend program adjustment only, and the clinical working staff does not need to worry about such complicated calculations. With the assistance of the information technology, despite that it is able to improve the current operation procedure, nevertheless, during the system promotion period, personnel may not easily accept such technology, in particular, the crosssystem integration. Therefore, in addition to periodic meeting review and shortening of schedule for dual-systems, there is a need for dedicated personnel and direct contact lines to assist personnel in solving problems in order to lessen the anxiety and unsecured feeling supervisors may have. After the system online, it becomes more stable and existing procedures used in the past can be improved in order to reduce errors, reduce labor, lower costs and shorten the execution time such that the supervisors can truly have a convenient and effective system capable assisting their busy works.
Working hours Multifunction nursing scheduling system Electronic whiteboard
Medical Integration Solutions Partners
Institution/company name : MacKay Memorial Hospital Department : Quality Management Center Contact Telephone : +886-2-25433535 Ext. 2470 E-mail : mmhqa@mmh.org.tw Contact : Hsuan-I Lin Administrator Responsible Supervisor : I-Ping Li Deputy Director
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Tungs' Taichung MetroHarbor Hospital Medical Oxygen Cylinder Smart Management System
About Hospital
2018 Smart Medical Clinical Appalication 49
To improve medical quality, ensure benefits of patients and improve public health, the hospital has established the “respect life, promote health” as the philosophy of the hospital. Since each live is valuable, the hospital cares all pubic requiring service fairly and equally. The medical team is committed to provide services to patients with best effort and to thoroughly respect the benefits and privacy of patients in order to provide complete medical care services and to actively promote the concept of disease prevention and health promotion to communities in light improving public health. The hospital further establishes the vision of “heading toward international medical center” in order to provide international class of medical care services to the public. To implement the philosophy and vision, the hospital establishes various supporting systems and encourages all staff to continuously improve their professional skills and services such that through smart medical care services, the service procedures can be improved and possible risks can be reduced and prevented in order ensure patient safety and improve medical quality.
Humanity Integrity Professionalism Innovation
Introduction of award winnings The hospital utilizes the RFID technology to establish the “Medical Oxygen Cylinder Smart Management System�, such that it is able to allow the management unit to only place oxygen cylinders at safe areas for storage without the need to arrange 24hour manpower for oxygen cylinder collection for use and inventory taking management. In addition, it also allows effective monitoring management remotely in order to manage the safe inventory of cylinders, access control, collection management in real time and to cooperate with abnormal conditions for emergency responses. Consequently, the system is able to reduce manual operation, prevent excessive or insufficient inventory as well as to allow personnel to manage the oxygen cylinders more efficiently. Furthermore, it is able to ensure the oxygen cylinder use safety of patients such that the medicament use safety of the public can be ensured.
Improve data accuracy: During the warehousing of the cylinders, data is created automatically such that the cylinder collection procedure can be simplified, and the system is able to automatically confirm the users, precisely record and track the status of the cylinders. Consequently, manual and paper communication and handling can be reduced while preventing risks of errors. Obtain cylinder inventory in real-time: When the oxygen cylinder quantity is lower than the safety inventory, the system is able to actively provide warning, and the administrator does not need to worry whether the cylinder quantity is insufficient. If there is a need to audit or verify information, a single regional scanning is required in order to confirm whether there is any abnormality in the storage swiftly. Monitor the medical gas quality: Since the collection of oxygen cylinders adopt the principle of first-in-first-out, the system can be used to monitor that personnel are required to collect all of the previous lots of cylinders before making collection of a new lot of cylinders in order to prevent older lots from expiration due to long period of storage. Optimized abnormal condition management: With the use of systematic information analysis, administrator can quickly and readily perform crisis response management for access errors, collection errors and emergencies in order to reduce possible various potential risks.
Tungs' Taichung MetroHarbor Hospital
Benefits
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Product photos
2018 Smart Medical Clinical Appalication
Fig. 1 Oxygen cylinder return, collection control
Fig. 2 Oxygen cylinder RFID scan inventory taking
Fig. 3 Personnel electronic access control 51
Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Medical gas Medical oxygen cylinder Smart management RFID Radiation frequency identification system
Tungs' Taichung MetroHarbor Hospital
The hospital uses the “Medical Oxygen Cylinder Smart Management System� to allow the oxygen cylinder collection data to be automatically inputted such that the cylinder collection procedure is simplified, paper and manual communication process is reduce and the risk of error is prevented with the increase of data accuracy. The system is able to greatly reduce the form incompletion rate by the collection personnel from 42% to 0%, and the number of cases of omission is also reduced from 15 cases/month to 0 case/ month. Administrator can also query the oxygen cylinder inventory from the cloud system at any time. In addition, the system is also able to actively warn the administrator when the oxygen cylinder stock is lower than the safety inventory and to inform the vendor for product delivery. Consequently, the system is able to reduce the effort of 40 minutes/time of inventory taking performed by the administrator. In addition, since the oxygen cylinder daily inventory can be obtained at any time, the system is able to control the inventory cost and space require. Consequently, it is able to save approximately NT$ 50,000/month of inventory cost on average and to ensure the sufficient sully and safety of the oxygen cylinders.
Medical Integration Solutions Partners Institution/company name : Snetech Co., Ltd. Contact Telephone : +886-4-25393570 E-mail : Alex_Lin@snetech.com.tw
Medical Integration Solutions Partners
Institution/company name : Tungs' Taichung MetroHarbor Hospital Department: Occupation Safety Office Contact Telephone : +886-4-26581919 Ext. 4790 E-mail : d4790@ms.sltung.com.tw 52
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Chiayi Chang Gung Memorial Hospital All-round Electronic Medical Device Management System About Hospital
2018 Smart Medical Clinical Appalication 53
Chiayi Chang Gung Memorial Hospital is located at the intersection between Puzi City and Taibao City of Chiayi County, and it is also close to county government and Chiayi high-speed rail station such that it is of great administrative and traffic convenience. To overcome the insufficient medical resource at Chiayi area in the past, the founder of the hospital, Yung-Ching Wang, decided to provide sufficient and high-quality medical services to the public; therefore, the hospital was officially in operation on December 28, 2001. Presently, the hospital has a total of 1,369 hospital beds, and the medical service quantity is sufficient. The hospital is also the largest hospital in Yulin, Chiayi and Tainan areas with plenty of spaces in the hospital. In addition, to ensure privacy of patients and for the medical quality of the hospital, the hospital have further received numerous honors in recent years, including such as the outstanding performance in the hospital accreditation and numerous recognition in severe level of first aid responsible hospital. The hospital is equipped with the medical service level of the medical center class. In its medical specialty, the hospital further establishes the nursing center, post-pregnancy nursing center and Chiayi Chang Gung University of Science and Technology. In the future, the hospital will also plan the senior health industry in order to provide medical service and to further create an environment capable of allowing seniors to extend and pass on tradition and culture as well as to improve their living quality.
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits In this project, the commonly used material receiving quantity, stock control setting records etc. in 2016 are used for the calculation of performance. The improvement outcome after the introduction of the system is summarized in the following: 1. Save operation working hours of 1,081 hours/month, equivalent to the manpower of approximately 6.8 people. 2. Improve commonly used material inventory turnover rate of approximately 10%. 3. Improve commonly used material inventory out of stock rate of approximately 14%. 4. The number of times where vendor's medical device permit license of MOHW expires but not detected timely is reduced from 6 times per year to 0 times. 5. Sterilization surgical instrument cover plate and sterilized wrap barcode tracking system for providing complete sterilization abnormal recall mechanism, and to ensure that abnormal items are prevented from use on any patients while the tracking purpose can be achieved and the patient safety can be ensured.
Chiayi Chang Gung Memorial Hospital
As healthcare related laws, payment terms and primary epidemic types are constantly changing each year, the demands for medical devices also change rapidly such that many hospitals are facing difficulties in the material excess or insufficient inventories. In addition, as unethical vendors still exist in the market, the purchase of medical devices with medical supply with qualified certification from the Ministry of Health and Welfare (MOHW) is still the basic requirement for the introduction of safe medical devices. However, since the quantity of medical devices is enormous, if informationization is not introduced for effective management, there is still a likelihood of the purchase of devices from unethical vendors. In addition, sterilization surgical instrument cover plates are also of the problem of validity period management. The question on how to use various application tools to prevent the erroneous use of expired products is also an important aspect of patient safety. Since the function of the existing information system is insufficient to cope with the aforementioned changes, this project needs to cope with the environmental changes in order to constantly correct and add information system along with the introduction of mechanisms of barcode technology, system automatic computation Big Data and active adjustment of purchase standards such that an all-round and quick responsive medical device management operation can be established to ensure patient safety.
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6. Implement medical device collection request unit control in order to ensure that during major epidemic occurrence, the materials in shortage can be effectively distributed and managed immediately. In addition, operating type of fabrics and fabrics for general use unit are effectively controlled to be separately distributed and managed in order to increase the usage quality of the operating type fabric.
Product photos 1. Sterilization surgical instrument cover plate and wrap barcode and dynamic tracking system
2018 Smart Medical Clinical Appalication 55
2. MOHW medical device permit license inspection registration management construction validity period management
Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Medical Device Management Stock Control Auto-adjust Medical Device License Management System Sterilization Surgical Instrument Management System By Bar code Validity period Management
Chiayi Chang Gung Memorial Hospital
In this project, the comments of primary users of the information system are collected in order to perform cross-hospital site and cross-department discussions. In recent years, medical device management information system has been improved continuously, and it is expected to complete the addition of the functions of “frequently used material purchase request operation with automatic execution (purchase order) to inform contractors to perform product delivery”, “frequently used material purchase request quantity and purchase request form execution timing can be automatically adjusted according to the actual amount of usage”, “sterilization surgical instrument cover plate and sterilized fabric barcode tracking system”, “system automatically calculates the sterilized fabric usage amount according to the operating technique scheduled”, “medical device management operation and follow-up system”, “MOHW permit license management” etc. In addition, with the introduction of the Bluetooth technology, the sterilization surgical instrument cover plate barcode reading procedure can be simplified. Finally, it is able to effectively improve the automated process, instantaneousness, practicality and accuracy of the medical device management information system.
Medical Integration Solutions Partners
Barcode gun operator : HTZ Co., Ltd. Institution/company name : Chiayi Chang Gung Memorial Hospital Department : Material Management Division Contact Telephone : +886-5-3621000 Ext. 3116 E-mail : robin@cgmh.org.tw
Medical Integration Solutions Partners
Institution/company name : Chiayi Chang Gung Memorial Hospital Department : Department of Management Contact Telephone : +886-5-3621000 Ext. 2442 E-mail : t544117@cgmh.org.tw 56
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Kaohsiung Veterans General Hospital Construct All-in-one smart equipment management system to improve hospital operation performance About Hospital
2018 Smart Medical Clinical Appalication 57
To improve the medical care for residents in the southern region, to promote the medical development and to improve the healthcare standard, the hospital was officially opened on October 31, 2003 in order to provide medical services to the residents in the southern region. The hospital is the only public medical center in Kaohsiung and Pingtung areas. The hospital cooperates with the government to promote the health and medical care policies as well as to provide high quality medical services to the public. With the emphasis on emergency medical service, in August 2003, the hospital invested in the construction of first-aid building in order to enhance the service for patients with critical illness. In addition, to cooperate with the improvement of the emergency medical network responsive ability for the Kaohsiung and Pingtung areas requested by MOHW, the hospital has also established the Emergency Medical Disaster Countermeasure Command Center for Kaohsiung and Pingtung areas. In response to the senior care policies of the government and the Veterans Affairs Council, the hospital also promotes the geriatric medicine in order to provide integrated medical care to seniors. On November 14, 2014, the first Geriatric Medicine Building in the southern region was officially opened. In addition to providing outpatient clinic integrated with localization and special prevention services as well as hospitalization medical service to seniors, it is also equipped with the senior medical education and research functions. The hospital further plans to construct a healthcare building in order to fulfill the responsibility of the hospital for providing healthcare to the entire Kaohsiung area.
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits In the past, operations were typically performed with papers, and since the systems were independent from each other without links, paper operation was lengthy, paper consumption was enormous, information actuary was poor, maintenance and purchase progress was non-transparent, equipment utilization was low or repetitive purchase was excessive. Consequently, there is a need to construct a smart equipment management system to overcome the drawbacks. Benefits gained from the introduction of this system: 1. Allow the integration of budget and projects as well as achieves the process informationization in order to prevent repetitive purchase. 2. Control and replace equipment with early budget planning in order to prevent impacts on patient safety caused by sudden errors of equipment. 3. Integrate into one single platform in order to readily and timely manage all progresses. 4. Feed back of clinical equipment capacity performance and maintenance status in real time in order to reduce idling of equipment or repetitive purchase such that the patient safety is increased and the hospital cost is significantly reduced. 5. Energy saving and carbon reduction. It is able to effectively reduce carbon emission amount and paper usage amount. 6. Through online application and management, information quality is improved to facilitate the subsequent management and analysis of the hospital. 7. Improve operation efficiency greatly and reduce document operation time.
Kaohsiung Veterans General Hospital
This system is constructed through cross-field team cooperation among the Medical Planning and Management Department, Information Office, Engineering Office, Supply Office and Accounting and Statistics Office. The main spirit is to focus on the life cycle of medical equipment in order to integrate all relevant systems and units such that the overall equipment management operation and performance. This system is constructed by five main sub-systems of medium-term project system, budget management system, purchase contract management system, asset management system and maintenance and repair system. Each sub-system is further divided into a plurality of small systems. Budget management system: annual budget application system, remaining fund application system, current expenditure application system, lease and gift equipment system, performance evaluation system. Purchase contract management system: price comparison system, purchase progress management system, contract information platform. Asset management system: instrument asset basic information system, utilization rate management system, equipment parameter management system. Maintenance and repair system: All-in-one repair and management system, discard management and early warning system.
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Product photos
Fig. 1: Budget application management system
2018 Smart Medical Clinical Appalication
Fig. 2: Budget application management system
Fig. 3: Repair and maintenance system Fig. 4: Repair and maintenance system
Fig. 5:Purchase progress control system
Fig. 6: Contract information platform
Experience sharing and implementation results Quantitative indicator benefits 1. Budget planning operation time period: Before the introduction of the system, the period is 9 months; it is shortened to 6 months after the introduction of the system. 2. Utilization rate of equipment above 3 million: Before the introduction of the system, the rate is 60.26%; after the system introduction, it is increased to 67.25%. 59
Humanity Integrity Professionalism Innovation
Keywords Equipment management Medical equipment Equipment life cycle E-press System planning
Kaohsiung Veterans General Hospital
3. Paper and carbon emission: After the system introduction, paper use is eliminated, and the annual carbon emission is reduced by 244.4kg of CO2. 4. Budget execution rate: Before the system introduction, the remaining amount is NT$ 14,911,793; after the system introduction, the remaining amount of the current year is NT$ 2,741,800. 5. Cost saving: After the system introduction, the costs incurred due to repetitive purchase and maintenance is reduced by more than NT$ 190 million dollars. Intangible benefits The system incorporates approximately 10,600 units of equipment of the entire hospital, and users can use simple operating platform to view the annual equipment maintenance and calibration plans as well as the complete test records at any time. In addition, the system is able to provide the historical repair frequency and cost statistics of one single equipment in order to allow the clinical unit medical equipment administrators to periodically perform self-management education and training. Consequently, the maintenance concept for prevention of errors and incidents can become the daily management habit for the entire hospital, and the establishment of the concept of prevention of errors can be established in order to ensure medical quality and patient safety in equipment use.
Author And Team members Author : Li-Fei Pan, Deputy Director of Medical Affairs Planning and Management Department; Chung-Lun Chen, Contract Specialist of Medical Affairs Planning and Management Department Team members : Yeh-Chu Chang, Deputy Engineer of Information Office of Kaohsiung Veterans General Hospital; Chu-Yen Lin, Director; Chen-Te Chen, Director of Engineering Office; Wei-Jung Shen, Section Chief of Medical Engineering Section; Pei-Liang Tiao, Director of Supply Office; Yen-Hsi Hsieh, Director of Accounting and Statistics Office; Li-Fei Pan, Deputy Director of Medical Affairs Planning and Management Department; Hsiu-Hsia Dong, Section Staff; Chung-Lun Chen, Contract Specialist 60
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Chi Mei Hospital Use Instrument Data Transfer Integrated Management Platform for Respiratory Cloud Construction About Hospital
2018 Smart Medical Clinical Appalication
The hospital was established in 1968 and the original name was “Fengjia Hospital”. In November 2010, the hospital was then changed to “Chi Mei Medical Center”. Presently, the hospital has 833 emergency hospital beds, and the total number of hospital beds is 1,278. The hospital includes a total of 37 departments, such as Department of Medical Science, Healthcare Center, Nursing Department, Medical Technology and Teaching Research Departments, a total of 13 administrative departments and a total of 44 medical and hospital affair related committees. Currently, there are 3,800 employees in the hospital. The core value of the hospital is “Care, Professional, Efficiency”. The hospital also upholds the patient-based spirit along with the goals of “develop quality characteristic healthcare”, “research with innovation, cultivate quality talents”, “improve process, increase service quality” and “flexible management, sustainable operation” in order to construct the organization culture of excellent healthcare quality, guarantee patient safety and protect the benefits of patients, thereby promoting the health of the public and employees and becoming a healthcare system trusted by the public the most.
Introduction of award winnings With emerging era of Internet of Things (IOT), medical care with the use of IOT for optimizing the medical care behavior has become more popular, and the purpose is to increase the mobility of medical care in order to achieve the concept of uHealth. Respiratory therapists need to be informed by the clinical care personnel at the first line of service in order to obtain the warning signal every day, and the system cannot provide support. Through the information transfer, the input data process can be simplified and errors can be reduced; in addition, the transferred data can be used as the computation materials for the Big Data in order to facilitate intelligent clinical decisions.
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For the respiratory instrument pairing, HIS synchronous integration, the traditional text or form pretension method is changed to visual graphics of “dynamic dashboard” and “time trend chart” in order to present the patient respiratory system mechanism and dynamic monitoring. In addition, it is able to achieve data transfer joint management among systems in order to construct the Chi Mei system respiratory cloud information and data. Furthermore, with the integration of the clinical data, such as vital signs, of the clinical information system (CIS), it is further applied to the respirator disengagement and respirator related events (VAE) monitoring and management; therefore, it is able to achieve the medical cloud platform integration among various instruments and the benefit of cloud computation.
Benefits Chi Mei Hospital
1. With the transfer design, to confirm the data accuracy, the “three-stage security transfer management” is constructed. The information system is constructed with checkpoints such that through the checkpoints, errors can be determined immediately in order to expedite the processing time. 2. Clinical management: (1)The system uses the dashboard and line diagram models for the presentation of various data processing, and relevant value points are introduced with the HIS vital sign values in order to construct patient personal warning item upper and lower limits for abnormal value determination; therefore, it is able to provide instant abnormality notifications and allows for early intervention for evaluation and handling problems of patients. (2)The introduction of respirator disengagement rules and automatic alert patient the stage entered can be used for clinical determination on the respirator disengagement process. (3)According to the testing values, vital signs and antibiotic usage intervention, the respiratory related events (VAE) are detected. 3. Equipment management: Various types of instrument data transfer are integrated onto the integration management platform in order to provide such data to the front-end clinical personnel and back-end medical engineers, information, instrument information vendor administrators to perform monitoring, maintenance and management; therefore, the clinical operation can be facilitated for performance. 4. Human resource management: Based on various abnormal data, the administrator is able to immediately provide labor support and subsequent possible educations. In addition, the system can also provide online supports for decision-making.
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Product photos
2018 Smart Medical Clinical Appalication 63
Experience sharing and implementation results In this project, the concept is not merely to transfer correct data onto HIS in real time, but there is a greater exception in simplifying the work process, achieving real-time monitoring management and abnormality instant notification in order to increase the patient care quality, medical care team communication information instantaneousness and transparency, utilization of Big Data analysis, thereby providing the analysis for intelligent clinical decision-making. During such process, the obstacles mostly rely in the network transfer stability and Big Data management. Through the experience gained in this project, it is understood that if the corner areas where the network transfer performance is relatively weaker can be equipped with wired transfer and installation of various instrument data integration management platform, it is able to obtain the data transfer frequency and changes at any time; therefore, the system is able to perform monitoring, maintenance and management at all times.
Humanity Integrity Professionalism Innovation
Keywords Respirator, medical information transfer Internet of Things Dashboard management Visualization management Clinical information system Cloud computation
Exentric Co., Ltd.
Contact us Institution/company name : Exentric Co., Ltd. Department : Medical Sales Department Wen-Meng Kung Contact Telephone : +886-938-808781 E-mail : jame@exentric.com.tw
Chi Mei Hospital
Medical Integration Solutions Partners
Medical Integration Solutions Partners Institution/company name : Chi Mei Hospital Department : Quality Management Center Contact Telephone : +886-6-2812811 Ext. 52955 , 52950 E-mail : safe@mail.chimei.org.tw , a50749@mail.chimei.org.tw
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Yuanlin Christian Hospital New Era to Dental Office Infection Control - UniCar Electric Track Vehicle (UETV)
About Hospital
2018 Smart Medical Clinical Appalication 65
The original purpose of Yuanlin Christian Hospital during the establishment thereof was to satisfy the demands for local emergency and critical illness treatment. With the consideration of the great medical demands from the public and under the macro-planning of the President of Changhua Christian Hospital, Yuanlin Christian Hospital was established. The hospital has adopted the highest standards in various aspects of medical care, software/hardware equipment, information technology, architecture space in order to construct a patient-based smart and green hospital. Regarding the smart hospital development at Yuanlin Christian Hospital, computer-aided technologies have been implemented in order to increase the medical care quality and to reduce the possibility of human errors. Consequently, in all aspects of outpatient clinic, emergency clinic, hospitalization, examination and testing, operating room, administrative management etc., intelligent system has been gradually introduced. The smart examination system at Yuanlin Christian Hospital allows the entire process from billing to examination machine to be linked and controlled by computers. After the billing of patients, the items requiring examination are printed directly by the computer, and labels are automatically attached onto the test tubes for delivery to the designated blood collection area. After the nursing personnel completes the blood collection, the test tubes can be automatically distributed to the examination machine for such item; therefore the process is faster and more accurate.
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits After the introduction of the UETV system at the dental office, the surgical instruments are transported into the cleaning room directly such that it greatly reduces the possibility of contamination caused by 2 times of spraying by the cleaning machine at the original clinic room. The introduction of UETV system is able to not only improve the operation quality of the aforementioned dental office infection control but also significantly reduces the time for nursing personnel to clean machine and the time for transporting the surgical instruments. Therefore, the clinic follow-up efficiency and medical quality are also increased. With the installation of the UETV system, the overall dental operating space no longer requires the external walkway design; therefore, an additional area of 44.2 square meter is increased for 3 more clinic rooms such that the total number of clinic rooms reaches 14 rooms. In addition, 3 additional physicians can be arranged for the outpatient clinic such that the number outpatient clinic patients is increased by 1258 people per month.
Yuanlin Christian Hospital
Dental office is a place for handling physical examination of patients, and it is also a place jointly used for clinical treatment after diagnosis, such as extraction, root canal treatment, patch treatment, periodontal treatment etc. Therefore, strictly speaking, dental treatment belong to surgical treatment, and dentistry shall be a branch of surgical; consequently, all of the infection control shall be identical to that of surgery. According to the latest guidance standard established by the Asia Pacific Community Infection Control Society in 2017, dirty and contaminated machines shall be prevented from transportation through areas with large crowd of people, and its transportation path shall not overlap with the transportation path for clean machines in order to prevent the possibility of cross infection. Therefore, the design standards of dental office shall be established according to the handling standard for surgical operating room. The area of one single dental office is limited. If the walkway outside the surgical operating room design is considered, then the clinical area of use is significantly reduced to affect its performance of use. Therefore, the new moving line must use the minimum space or use the space that cannot be utilized for clinical process in order to achieve the objective of transportation. Automatic track carrier becomes the priority choice after consideration.
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Product photos
2018 Smart Medical Clinical Appalication
Experience sharing and implementation results The Yuanlin Christian Hospital Dental Department plans a total of 14 clinic rooms, and the initial design adopts two clinic rooms for one group in order to be used for one physician. In addition, to prevent waste of place, the UETV system is not operating at the clinic rooms where personnel are at work, but all of the tracks are moved to the top of the ceiling. Therefore, only when the track vehicle descends and enters into the clinic room, it then enters into the clinic room from the space at the partition control station. In other words, the moving line of the entire UETV 67
Humanity Integrity Professionalism Innovation
system is not intersecting or overlapping with the moving line of the medical personnel; therefore, it is able to achieve the highest principle of infection control. Furthermore, to prevent waste of space and budget, two clinic rooms share the use of the control station such that under the condition where the transportation efficiency is not affected, it is able to greatly reduce the installation length of the track racks and the construction cost of the control station. In addition to the design of the moving line to prevent waste of the space of clinic rooms, after the physician completes the clinic diagnosis, he or she can also continue the clinic diagnosis at the clinic room next door while the nursing personnel are able to load the surgical instruments at the original clinic room onto the track vehicle for transporting back to the cleaning room, and the clinic room can also be cleaned and disinfected ready for next patient’s use. Therefore, such share use of one control station by two clinic rooms is, in fact, the most efficient design method. Yuanlin Christian Hospital
Keywords UniCar Electric Track Vehicle (UETV) Cross infection Anti-topping balance device Automatic rack carrier UniCar Electric Track Vehicle (UETV) System Medical Integration Solutions Partners Chung Teng Medical Instrument Co., Ltd.
Contact us Institution/company name : Chung Teng Medical Instrument Co., Ltd. Contact : Fa-Fan Yang Contact telephone : +886-913-625821 E-mail : ctm.tw@msa.hinet.net
Medical Integration Solutions Partners Institution/company name : Yuanlin Christian Hospital Department : Department of Dentistry Contact Telephone : +886-4-8381456 Ext.2035 E-mail : 1501284@cch.org.tw 68
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Huede Co., Ltd. Advanced Physiological Transmitting system - Infusion Pump Introduction of award winnings
2018 Smart Medical Clinical Appalication 69
Since nursing personnel are often required to perform medicine verification and confirmation by two nurses before infusion, or to handle alarms back and forth with great efforts and to perform data recording during and after the infusion process, the works of nursing personnel are often interrupted and the efficiency of work is poor. Consequently, to overcome the drawbacks, infusion pumps, of IV pumps, syringe pumps at the ward area as well as the responsible nurse and patient information are linked to the central monitoring server capable of automatically collecting pump data and monitoring the flow rate, followed by transmitting information of flow rates before, during and after the infusion, alarms, medicine verification result to medical personnel. In addition, with the use of clinical application app, it is able to assist the nursing unit to overcome the aforementioned drawbacks. The process framework of this system mainly comes from the professional teams of the pharmacists, nurses, and the units of information and medical engineers in order to perform joint discussion for the completion of the system construction.
Benefits The construction of the smart infusion pump system is able to improve patient safety, reduce manpower performing repetitive actions, and also reduce the stress of medical personnel. Consequently, it is able to achieve the most optimal benefits of multiwin situation for the hospital, patients and medical personnel. I. The infusion task completion rate reaches 100%. II. The care efficiency of nursing personnel is greatly improved, and for each infusion case, the nursing personnel are able to save at least 5 minutes, and can even save 10 minutes at most (including scanning patient and medicine, verification, infusion, recording). III. The patent condition verification time is shortened (also increases the patient safety). The pre-warning notification processing time is reduced by at least 7 minutes, or the pre-warning may even be reduced by 15 minutes.
Humanity Integrity Professionalism Innovation IV. The pump malfunction replacement only requires on minute of time to perform the data transfer for continuous monitoring (re-verification of physician instructions is not required) V. The system provides proper warning classifications, and the nursing personnel are able to determine whether there is a need for immediate handling depending upon the level of the warning. In addition, it is able to eliminate repetitive notifications of unimportant warnings at the same time that may affect the works of nursing personnel and resting of other patients.
Product photos
Huede Co., Ltd. 70
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Experience sharing and implementation results This system was jointly constructed with the relevant departments of Changhua Christian Hospital, and it took a period of 12 months of discussion and construction as well as development of this system. The system was tested online for 6 months, and the two stages of testing was conducted at the children No. 13 ward and No. 72 ward. The two-stage testing outcomes according to the testing criteria are as follows: 2018 Smart Medical Clinical Appalication 71
I. First stage outcome: Before use 1. Verify possible errors in the medicine 2. Under the condition of fatigue, flow rate/total quantity may be erroneously set . 3. Continuous alarm sounds of various warnings of pumps, such that nursing personnel exert great effort in handling such warnings. After use 1. After the scanning and pairing of new infusion case, the system is able to provide automatic reminders without omission of cases. 2. Medicine verification rate: 100% 3. Dose/flow rate verification rate 100% 4. After the end of the infusion, the pre-warning can be set up according to the habit of users II. Second stage outcome: Before use 1. Repetitive scanning of patients 2. Repetitive scanning of medicine After use 1. Integrate with the original nursing process 2. save the infusion time handling for responsible nurse 3. Save labor and time for verification personnel
Humanity Integrity Professionalism Innovation
Keywords Patient/Pump/Nurse ID paring and verification Patient prescription/medicine verification Therapy order check Therapy begin & end timing / dose / drug name/ flow rate Auto upload therapy completed to HIS
Medical Integration Solutions Partners Huede Co., Ltd.
Huede Co., Ltd.
Applicable to different brands of infusion pumps
Contact us Institution/company name : Huede Co., Ltd. Department : Department of Management Contact Telephone :+886-2-86650036 Ext. 101 E-mail : jennifer@huede.com.tw
Medical Integration Solutions Partners Institution/company name : Huede Co., Ltd. Department : Department of Management Contact Telephone :+886-2-86650036 Ext. 101 E-mail : jennifer@huede.com.tw
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Huijia Health Life Technology Co., Ltd. Smart Baby Safety and Health Tracking Management System About Company
2018 Smart Medical Clinical Appalication
Huijia Health introduces unique “Non-invasive Fiber Optic Physiological Monitoring Technology� by using the total-reflection principle without any electromagnetic waves of the fiber optics, it is able to monitor changes of respiration, heart rate, blood pressure, sleeping analysis and activity status for high-sensitive and high precision physiological detectors. The fiber optic monitoring technology has been mass-produced and commercialized. The company is the only provider of such technology for more than 7 years. Baby Mat series of products have been used by more than 200 professional institutions of obstetrics and gynecology clinics, postpartum care centers and baby care centers. The application includes smart mat (mattress), smart bed, smart cushion, smart auxiliary tools, smart clothes, 24-hour automatic patrol system, smart baby safety and health tracking management system, smart care room without the wearing of any devices such that safety and health information can be obtained comfortably. This innovative technology and smart care system have received recognitions worldwide. In 2017, it receives the R&D100 Awards, 2017 Information Month Top 100 Innovation Gold Award, 2017 Medical Quality Award and Top 100 Innovation Gold Award, 16th APICTA Gold Award and 13th National New Innovation Award.
Introduction of award winnings The newborn safety and health tracking system is based on the patented core technology of the company: Non-invasive Fiber Optic Physiological Monitoring Technology (nFOPT. Its application is able to achieve the high level of safety without wearing any devices and without any electromagnetic waves. It is able to provide 24hour management of safety condition of multiple babies at the mother-baby friendly room-in simultaneously in real time and to track their health reference information in order to achieve a smart caring system capable of reducing mother-baby nursery risks.
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Humanity Integrity Professionalism Innovation
The system includes: system host machine (installed inside the nursery station), UBabyCare smart baby mat (respirator y activity monitoring mat) smart phone app (nursing personnel and mother). Innovative characteristics include: 1. Safety care: adopting the free-electromagnetic wave principle, no lead wire to prevent circuit burning for 100% safety. 2. Comfort care: Safety and health monitoring without wearing any devices 3. Automatic patrol and active warning: Transferred from passive patrol care to active and automatic warning notification. 4. Health information and sleeping activity analysis: Provide information to nursing personnel and physicians for reference. 5. Month-baby nursery room report automatic output.
The active promotion polices for the mother friendly room-in achieves great outcome and reputation; however, it also faces the following problems: 1. Due to the insufficient first line of manpower, the room-in creates stress with the nursing personnel 2. If the room-in system is executed compulsory, it can also stress and repulsion of the mother such that she may not gain sufficient rest and the quantity of breast milk be low for baby feeding. 3. A lot of symptoms of newborns are not obvious, and according to the statistics, 70% of baby accidents occur during room-in 4. Room-in report is not recorded properly with the actual baby in and out of the nursery room, or there is a need for dedicated personnel to perform statistics. 5. Once newborns have abnormalities, disputes may occur, and there is no continuous physiological activity information of the baby available for reference.
Huijia Health Life Technology Co., Ltd.
Benefits
Benefits of the introduction of this system: (1) For institutions: The risks of newborns during the mother friendly room-in can be reduced. (2) For nurses: The stress of nursing personnel due to long-term tension can be reduced. (3) For mothers: The stress of mothers due to room-in can be reduced and mothers can obtain greater period of rest. (4) For babies: The risk of newborns can be reduced through warnings. (5) Smart informationization: Room-in accreditation form information is generated automatically in order to simplify the process and the complicated calculation and form completion work.
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Product photos
2018 Smart Medical Clinical Appalication
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Humanity Integrity Professionalism Innovation
Experience sharing and implementation results
Keywords Smart Care System Smart Baby Care System Fiber optic physiological monitoring technology/nFOPT Smart Baby Mat Smart Hospital
Huijia Health Life Technology Co., Ltd.
Non-invasive fiber optic physiological monitoring technology was developed by the founder with his background story of a premature baby having the weight of 680g only. Since the development of the technology, more than 200 obstetrics and gynecology clinics, postpartum care centers and baby care centers have tried and used the respiratory monitoring mats. However, a lot of hospitals, postpartum centers and baby care centers have reelected to the company that they prefer a monitor for monitoring all of the baby conditions regardless whether the babies are in the mother’s room or baby room. Particularly, the mother friendly room-in can cause greater pressure to the nursing personnel, and a greater amount of tedious works are required to record the position of the babies. Consequently, the smart baby safety and health tracking management system is developed. Through the interviews with the nursing personnel of obstetrics and gynecology clinics, postpartum care centers and baby care centers, for the problems encountered during execution of room-in, solutions are to be provided. In addition, one obstetrics and gynecology clinic and one postpartum care center are selected to perform the actual operation. After a period of one year, the system problem correction has been completed, and since 2017, more than 30 postpartum centers have contacted the company. In addition, 12 obstetrics and gynecology clinics and postpartum care centers have introduced the system and the number of users are increasing every month.
Medical Integration Solutions Partners Institution/company name : Huijia Health Life Technology Co., Ltd. Deapartment : General Manager’s Office Contact Telephone : +886-3-3699721 Ext. 335 E-mail : Coco.pan@ubabycare.com
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Taoyuan Hospital, MOHW Transfer Waste Paper into Medical Big Data Database - Taiwan Diplomatic Allies and Developing Countries Taiwan Healthcare Information System (TaiwanHIS) Smart Healthcare Solution
2018 Smart Medical Clinical Appalication 77
About Hospital Taoyuan Hospital, Ministry of Health and Welfare (MOHW) was of the originally name of “Provincial Taoyuan Hospital of Taiwan Province” and belong to the Health Department of Taiwan Provincial Government. The hospital was located at the center point of the main road of greater Taoyuan area, and started is official operation in December 15, 1979, to provide medical services for the medical center class to residents in the greater Taoyuan area having insufficient medical support at that time. In July 1999, to cope with the government restructure, it was changed to operate under the Ministry of Health, Executive Yuan. In July 2003, Taoyuan Hospital Xinwu branch was officially opened to provide services to the public at remote areas. On July 23, 2013, the organization of Executive Yuan was further restructured, and the hospital was changed to the name of “Taoyuan Hospital, MOHW”. Hospital role and positioning: Provide quality healthcare, fulfill social responsibility Strategy and mission: Provide care to patients with emergency, critical and major illnesses, expand teaching and research quality, improve information system upgrade, enhance characteristic medical service. The hospital is responsible for national diseases control and prevention center, tuberculosis control and prevention as well as AIDS care.
Humanity Integrity Professionalism Innovation
Introduction of award winnings
Benefits The benefits of the TaiwanHIS smart healthcare solution on the “medical institutions” include not only providing electronic medical information procedures and hospital informationization management method but also allowing medical institutions to establish medical standard operation procedures (SOP) in order to effectively manage various resources and cost calculation inside the management institution. In addition, it is also able to allow users to repeat learning and implementation during the system operation process. With the effective patient information management and mobile healthcare technologies, patient healthcare quality and safety can be improved and the space limitation can be overcome in order to allow greater number of people to have the opportunity and rights for receiving the medical care. For the “cooperative country governments”, through the decision making support system integrated with the healthcare information of the medical institutions and public health information, statistical analysis can be performed in order to support the establishment of relevant policies on healthcare, public health and epidemiology. Regarding the “cooperative country overall medical information environment development”, through the TaiwanHIS alliance team and local technical team, partnership is established in order to ensure that the medical institutions are able to obtain technical supports locally and continuously as well as to provide the ability for construction of healthcare, information technology and personnel. As a result, the healthcare information industry is able to root deeply at the local area in order to form a self-sustaining healthcare and information industry settlement.
Taoyuan Hospital , MOHW
TaiwanHIS is presently the only open source medical health care information system for the medical procedures of all hospitals. Under the highly modularized system architecture, use units are able to perform customized settings according to the needs in order to comply with the medical procedures of hospitals and clinics of different scales. In addition, TaiwanHIS is currently the only open source code medical information system equipped with the Computerized Physician Order Entry System (CPOE). Through the introduction and application of CPOE, hospitals and clinics are able to perform realtime information transmission in order to significantly reduce the personnel staffing inside the hospitals and clinics, provide clear physicians’ instructions, improve patient safety, medical quality and to perform effective cost management. In addition, with the medical procedure electronic standardization equipped in CPOE and the TaiwanHIS online support education platform, users are able to perform continuous learning and retraining during the system operation process and to continuously receive support from the TaiwanHIS team in order to increase the user information abilities and to perform local system development. Consequently, TaiwanHIS can be rooted deeply in the local medical environment and transformed into a HIS system dedicated to the local area.
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Product photos
Fig. 1 TaiwanHIS Log
2018 Smart Medical Clinical Appalication
Fig. 3 TaiwanHIS system architecture
Fig. 5 TaiwanHIS system interface
Fig. 2 TaiwanHIS free software development system architecture
Fig. 4 TaiwanHIS system login screen
Fig. 6 Benefits of introduction of TaiwanHIS into University of Haiti Hospital
Experience sharing and implementation results Example of introduction of the system in University of Haiti hospital: 1. The medical record rooms originally piled with great number of waste papers was transformed into information server host machine system in order to activate the healthcare information and to use it as the basis for medical Big Data applications. 79
Humanity Integrity Professionalism Innovation 2. With the integration of solar power, the server host machine is able to operate 24-hours nonstop, and the clinic rooms are able to operate at any period of time. 3. The outpatient clinic operation procedure is transformed into electronic information in order to increase the medical efficiency and the medical records can be prevented from loss. Self-operation foundation of the hospital was established. 4. Local medical information team was cultivated in order to become the foundation for the local development in the future.
Keywords Open Source Free Software Healthcare Information System Computerized Physician Order Entry System, CPOE Smart Healthcare Total Solution Institute for Information Industry Asus Technology PTE Ltd. IEI Integration Corp.
SIS Co. Ltd. Delta Networks Co., Ltd.
Contact us Institution/company name: Institute for Information Industry Department : Digital Institute Contact Telephone: +886-2-66316755 E-mail: johnson@iii.org.tw Institution/company name: Asus Technology PTE Ltd. Department :Open Platform Sales Department Contact Telephone: +886-2-28943447 Ext. 27080 E-mail: Camille_Chen@asus.com
Institution/company name: SIS Co., Ltd. Contact Telephone: +886-4-22376397 E-mail: idol@shineinfo.com.tw Institution and company name: Delta Networks Co., Ltd. Contact Telephone: +886-2-87910088 Ext. 12301 E-mail: raymond0168@gmail.com
Taoyuan Hospital , MOHW
Medical Integration Solutions Partners
Institution/company name: IEI Integration Corp. Department : Marketing and Sales Department Contact Telephone: +886-2-26902098 Ext. 16232 E-mail: darrenwu@ieiworld.com
Medical Integration Solutions Partners
Institution and company name : Taoyuan Hospital, MOHW Department : Planning Center Contact Telephone : +886-3-3699721 Ext. 4590 E-mail : kanhy@mail.tygh.gov.tw
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