2019 Application of Smart Medical Technology

2019

Application of Smart Medical Technology

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 2014, for the “HQIC”, “Smart Healthcare Category” campaign has been officially established, seeking outstanding and successful projects from medical institutions utilizing information technology in medical practice. The campaign has designed with the concept of Solution, Service, and Smart Hospital, “Industrial Application Group” has further included in 2015 and “Smart Service Group” has also been included in 2018, in light of selecting outstanding healthcare intellectualization implementations from the campaign to provide the benchmarking opportunities for medical institutions.

In addition, joint cooperation between technology industry and medical institutions can be encouraged in order to improve the medical performance and quality as well as to create industrial values. The campaign has been implemented for 6 years, and there are 71 institutions, 485 projects, and 4 services 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 service, 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 6 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 in 2018 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, 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 “Evidence-Based 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 small medical institutions, clinics, health centers and long-term care institutions to participate in the campaign, in 2011 (twelfth year), the Subject Category further included the “Community Healthcare Group”. JCT has started to host the “GrossStrait Healthcare Quality Promotional Exchange Campaign” Since 2012 (thirteenth year) in light of encoring greater number of institutions to perform quality improvement and benchmarking through such event in order to achieve the objective of improving the healthcare quality. 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 stimulate domestic institutions or units to improve the healthcare quality through innovative researches in order to develop outstanding characteristic healthcare services, since 2016(seventeenth year), the“System Category”has further included the“Outstanding Center Group” and “Outstanding Community Institution Group”. In 2018 (nineteenth year), the “Outstanding Institution Award” was awarded for the first time to medical institutions with outstanding performance in various campaigns in the year. Besides, the “Smart Healthcare Category” further included the “Smart Service Group” to identify the “Service” of utilizing information technology to assist in healthcare operations.

-Joint Commission of Taiwan

CONTENTS

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National Taiwan University Hospital

High speed next generation gene diagnosis assistive system

Taichung Veterans General Hospital

Big data application- an efficient research tool that accumulates results little by little Tri-Service General Hospital

C-cloud cardiac rehabilitation e-Cover: application of medical nursing smart caring clothing system Kaohsiung Veterans General Hospital

Establishment of virtual reality simulation training environment for first-aid treatment to patients with multiple traumas (ATLS VR simulation) Chi Mei Hospital

Environment monitoring real-time notification; total management for repairing and maintenance Cathay General Hospital

Smart system for medical equipment maintenance and repairing actions

Kaohsiung Medical University Chung-Ho Memorial Hospital

Guardian angel for patients and medical personnelsmart integration and application of cloud-based medication record

Chiayi Chang Gung Memorial Hospital of the C.G.M.F.

Error termination-creating mistake-free smart Chinese medicine administration service system

Changhua Christian Medical Foundation Yuanlin Christian Hospital

Intelligent automation rehabilitation scheduling management Chung Shan Medical University Hospital

Patient-centered PFM medical record Chung Shan Medical University Hospital

Human-centered and smart nursing care

43 47 51 55 59 63 67 70 74 78

Kaohsiung Veterans General Hospital

Integrating data with AI technology to create holistic medicine smart care system Kuang Tien General Hospital

Seamless integration between acute medical care and long-term care Taichung Veterans General Hospital

Way finding in the hospital- Smart guidance system Kaohsiung Medical University Chung-Ho Memorial Hospital

The denture I made is with traceability-introducing technician fee order system to optimize prosthodontics quality and management efficiency National Taiwan University Hospital

Application of REDCap comprehensive smart solution Tri-Service General Hospital

Medical equipment e-information smart management system Far Eastern Memorial Hospital

Smart strategy planning and budget management platform links innovation and excellence together aHOP Co., Ltd.

aHOP collaboration platform identifying correct “device�

Binflux Inc.

Infans EMR (reproductive medicine center data management system) Huede Healthtech Co., Ltd.

Smart emergency medical care system (iEMS)

2019 Appalication Of Smart Medical Technology

Quality , We together

National Taiwan University Hospital

High speed next generation gene diagnosis assistive system Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 1

Next generation genome sequencing (NGS) involves with huge amount of data volume. It is difficult to conduct manpower screening and verification as well as data processing and analyze with traditional interpretation. It takes long time and usually the conclusion is still difficult to be made after several weeks.

The system is a self-developed program to assist physicians in interpreting genetic variation remark data after next generation genome sequencing. It can be used to screen data rapidly with pre-set or customized conditions to shorten the scope of data interpretation. The grogram can also look up the gene database to obtain the information whether the variation location is with pathogenicity. With reference of huge amount of literatures, BM25 value is used to represent the correlation between the candidate gene and clinical signs.

A potential database of patient disease cause by gene is established so that physicians can screen out gene according to sequencing data with the support of inputting symptom of the disease or possible diagnosis. The system uses text mining comparison technology to list possible genes and diseases.

Experience sharing and implementation performance

The program has become the conventional tool used for next generation genome sequencing interpretation by the Department of Medical Genetics in our hospital. With the assistance of the program, our team has successfully established the process of rapid next generation genetic diagnosis.

Our team published the research outcome at 2018 Human Genetic Society Spring Conference and then at American College of Medical Genetics and Genomics (ACMG annual meeting) Taiwan Pediatric Association in 2018. Both received great attention and it proves the benefit of the program. Currently, the team still holds conference regularly to continue enhancing and improving the functions of software with the expectation to be able to meet the clinical demand even better. The project result is with highly clinical application value as well as the potential of being promoting it as commercial mode. In the future, we plan to develop the webpage version and convert the program into the online service pattern to provide it for the research units and medical clinics that have demand in genetic analysis as well as establish local genetic analysis database.

Humanity Integrity Professionalism Innovation

Implementation benefits

Image 1 Main screen

High speed next generation gene diagnosis assistive system National Taiwan University Hospital

Product photo

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Before the program, it usually takes several weeks to decide whether the case is the rare genetic disease patient but still difficult to draw a conclusion.

After using the program, the time spent to interpret genetic variation can be substantially reduced and the diagnostic rate of interpretation can be increased in order to enhance the quality of medical service. The positive rate of next generation genome sequencing result is 57% and it is not worse than that in overseas countries of 36-50%. Moreover, the report available time (including time needed for sequencing and interpretation) is 6.4 days and it is better than that done by overseas team of 13-73 days.

Currently, the correctness rate of prediction by using text mining can achieve 0.97 and it is a very useful assistive tool clinically.

Image 2 Tex mining structure 2

Humanity Integrity Professionalism Innovation

High speed next generation gene diagnosis assistive system National Taiwan University Hospital

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Hospital introduction

Image 3 Tex mining result

National Taiwan University Hospital was established in 1895 and it has been more than a century. It cultivates numerous talents for medical circles, including medical students, medical specialty, pharmacist, and nurses. There are more than 2,400 inpatient beds with more than 8,000 patients for outpatient service. Its clinical medical quality is well-known and is trusted by the people in the country.

As a national teaching hospital, National Taiwan University Hospital carries three tasks- teaching, research and service. In terms of teaching, it cooperates with the extended curriculum design from medical school and cultivates talents for medicine and various specialties. In terms of research, it integrates research resources and establishes core research room in order to provide the best research equipment and research environment to colleagues. In terms of service, its service orientation is centered by patient safety, emphasizes humanistic nursing, and focus on medical quality and patient safety management in order to provide high-quality delicate medical service.

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Keyword

Next Generation Sequencing (NGS)

Genetic variation

Rare genetic disease BM25

Text mining

Contact details for medical integration solution Contact person: Information Manager, Hsiung Han-Chang Tel: (02)2312-3456 ext.62026 E-mail: lubear@ntuh.gov.tw 3

Quality , We together

Taichung Veterans General Hospital

Big data application- an efficient research tool that accumulates results little by little Introduction of the award-winning work

Experience sharing and implementation performance

2019 Appalication Of Smart Medical Technology

Medical research has always been one of the important tasks in the medical center. Along with the emphasis on the medical quality and the proposing of the concept of learning health systems, medical and medical quality researches that are driven by data are becoming more and more important.

It is quite challenging for medical personnel to balance the research with the busy work. The traditional approach requires browsing medical records and recording information one after another. With the implementation of Personal Information Protection Act, the traditional research method of reading through medical records will face more limitation.

The electronic medical records used in our hospital have accumulated huge amount of digital data over a long period of time and new types of data continue to be added in. The utilization of big data not only can speed up medical research but also provide a new vision and new prospective for research. The system and service cover various processes in the clinical research from the estimation of the quantity of study case, screening, long-term tracking, and integration of subject’s clinical information; the system is able to provide assistance in these clinical research processes.

Other than R&D on its own, the team also collaborates with Information Office, Medical Research Department and Ethics Committee to establish various big data repositories, system tools and working processes for more than a decade.

SNOMED CT is used for all the disease diagnosis, allergy records, drug registration files, and pathological diagnosis in the electronic medical records at our hospital.

1.Limitation of clinical use of ICD9/10 CM classification: It is for classification purpose with limited vocabulary. For those are not commonly seen, they will be put into “Other specified diseases�. It is lack of precision and is insufficient for clinical use and research purpose.

2.SNOMED input is applicable to the diagnosis in outpatient, hospitalization and emergency appointment. It will also be automatically

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Quality , We together

Big data application- an efficient research tool that accumulates results little by little Name of institution/ supplier: Taichung Veterans General Hospital 5

corresponded to ICD-9/10 for the purpose of declaration.

The system provides data for retrospective study, instrument interfacing, and data acquisition, such as respirators. It had been promoted after the successful research in quality control circle. Initial achievement in the integration of genetic precision medicine research and electronic medical records has been revealed. Various artificial intelligence analytical tools for big data are under exploration and development. There are still a lot of aspects for application in the future and it is anticipated to have further progress with dedicated organizations, tasks, and personnel in place.

The R&D, management, and service provision done by the dedicated personnel with the interdisciplinary team is the most efficient method of providing and maintaining high-quality data. Meanwhile, it offers the excellent innovative environment in the hospital and it is very valuable for promoting it. The experience of big data repository establishment in our hospital can be provided to other hospitals for reference.

Research driven by data is an important part of learning health systems.

Even though the various tasks developed currently have strengthened the efficiency in providing and analyzing data, there are still a lot of important data to be collected and integrated in the future as well as there will be continuous sources of new data adding in, such as data related to gene, mobile health and internet of things. The continuous applying and developing various tools of big data, such as machine learning, natural language and AI analytical tools, and expanding big data repository are the efficient tools and key points of development for future researches.

Implementation benefits

1.Database inquiry application and achievement: The Clinical Information Research and Development Center has appointed dedicated personnel to be in charge of information-providing service since 2009. The total application numbers accumulated until December, 2018 were 3,021. There were 953 applications for academic research and accounted for 31.5% of total application numbers. The accumulated successful publication was 133 articles with SCI in 67 articles.

2.Research for quality control: It is to assist quality control circle and Symbol of National Quality (SNQ) and the number of cases assisted from 2013 to 2018 were 65. Among them, 18 cases were involved with awards and certification marks.

3.Special algorithm and key management scheme are used to process patients’ data that can be directly identified. Different coding will be generated for different users in order to comply with Human Subjects Research Act and Personal Information Protection Act. It will be provided to researchers to access for data identification in order to offer research data with higher quality and integration.

Humanity Integrity Professionalism Innovation

Product photo

Image 5. Problem Orientated Medical Record- all questions and changes during hospitalization process will be correctly recorded in details with SNOMED internal code.

Image 2. Timetable of research structure tool establishment

Image 3. Clinical Data Repository (CDR)

Image 4. SNOMED diagnosis input. ICD10 will be automatically corresponded to search out subtype infection of Influenza A. All ICD10 are J09.X2.

Image 6. Screenshot of SNOMED T-code and M-code pathological reports

Big data application- an efficient research tool that accumulates results little by little Name of institution/ supplier: Taichung Veterans General Hospital

Image 1. Conceptual framework of big data and precision medicine clinical research informatics

Image 7. De- identified electronic medical record mechanism and inquiry system in the clinical research repository

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Humanity Integrity Professionalism Innovation

Hospital introduction

Big data application- an efficient research tool that accumulates results little by little Name of institution/ supplier: Taichung Veterans General Hospital 7

Our hospital established “Veterans General Hospital- Taichung Branch” on July 1st, 1982 after being approved by Executive Yuan. Medical operation was unfolded on September 16th and was restructured and upgraded to “Taichung Veterans General Hospital” on July 11th, 1988.

Since the establishment, the hospital was under the outstanding leadership and supervision by Mr. Chao Chu-Yu at the council and the predecessor and successor of chairman as well as the careful planning and full engagement from Mr. Lo Kuang-Jui and other superintendents. In 1984, it passed hospital and teaching hospital assessment and was rated “Tier 1 Teaching Hospital”.

In 1988, it was rated as “Would-be Medical Center” and “Medical Center and Class I Teaching Hospital” in the next consecutive 5 assessments. The medical quality and technology are fully recognized. The hospital also passed “New System Hospital Accreditation Scheme and Teaching Hospital Assessment “ in 2007 and 2011. The hospitalization focus on acute and critical care to provide a safe, warm, and high-quality medical service to the public. Our hospital also creates excellent teaching and training venue and presents outstanding research and development performance. We are consistent in fulfilling the established tasks and missions and actually implement the social responsibility of “health guardian” that the public medical centers are responsible for.

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Big Data for research

clinical Research Informatics SNOMED ICD10

Clinical Data Repository

De-identified electronic medical record Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Taichung Veterans General Hospital Department: Quality Management Center Contact person: Lai Yuan-Hui Tel: (04)2359-2525 ext.2073 E-mail: yuanhuilai@vghtc.gov.tw

Quality , We together

Tri-Service General Hospital

C-cloud cardiac rehabilitation e-Cover: application of medical nursing smart caring clothing system Introduction of the award-winning work

Experience sharing and implementation performance

The home exercise training with virtual coaching constructed by the combination with smart textile is the collaboration between our hospital and Taiwan Textile Research Institute. The application of human subject research for the project was approved in 2017, the reliability and validity of heart rate monitor sensor for the smart textile was then completed to confirm the safety and the availability of good reliability and validity, and the global pioneer smart medical system (APP) with the functions of home exercise coaching and heart rate monitoring is created. The clinical random test on patients with chronic diseases in the community was carried out between 2017 and 2018. Up to now, other than continuing recruit case subjects, the project is able to use the same pattern to the patient group with multiple chronic diseases all over the county through the preliminary feasible clinical test. Besides, in order to face the era of super-aged society in our country, the smart exercise training and monitoring pattern for the patients with smart multiple chronic diseases

2019 Appalication Of Smart Medical Technology

In responding to the health care demand of the senior citizens, our institute works with Tri-Service General Hospital to develop cardiac rehabilitation supporting smart textile system. Fabric-based ECG electrode in medical equipment level is developed to combine with sport functional fabric and clothing pattern creating wearable ECG electrode smart clothing system. The integration of Bluetooth heart rate monitoring module and “health prescription” APP allows patients achieve the effectiveness of health promotion through home exercise. Health Prescription APP is an exercise training voice feedback system “health prescription” developed with Department of Physical Medicine and Rehabilitation in Tri-Service General Hospital. After evaluated by the physiatrist in the hospital, the patient can design the training procedure in APP. Through the dynamic monitoring of exercise strength on the smart textile and the verification and analysis of the exercise procedure, the feedback on training strength will be provided to the patient in real time to achieve the purpose of precision exercise.

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Quality , We together

constructed pioneer in the world can be used to achieve multiple disease case management effectively, improve physiological index on patients’ health, and the tracking and reference mode for case management on various specific diseases groups that require healthy life style.

C-cloud cardiac rehabilitation e-Cover: application of medical nursing smart caring clothing system ─ Tri-Service General Hospital 9

Implementation benefits

1. Smart textile system almost has no difference in the tolerance of hospital system (standard), and it is with good validity.

2. The comparison between using smart textile and doing exercise at home reveals the physiological index of exercise- cardiovascular fitness (VO2), load wattage (work), pulmonary function index (FEV1/FVC), and the maximal heart rate of exercise test are significantly advanced. In addition, the walking activity levels every week as well as the medium strength and high strength physical activity levels all present outstanding improvement. Life quality is improved as well.

3. The real-time feedback and safety monitoring efficiency for the case management are enhanced to achieve seamless medical care as well as understand the insufficient strength of home exercise training implemented by patients with multiple chronic diseases in the real practice. It reveals the recognition on exercise training among the public in the community should be carried out and educated continuously.

Product photo

Humanity Integrity Professionalism Innovation

Hospital introduction

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Keyword

Cardiopulmonary training

home care

telemedicine cloud

smart textile Cooperated partners for medical integration solution： Taiwan Textile Research Institute Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Tri-Service General Hospital Department: Department of Physical Medicine and Rehabilitation Contact person: Shen Yu-Ping Tel: (02)8792-3311 ext. 17062 E-mail: reh_tsgh@mail.ndmctsgh.edu.tw

C-cloud cardiac rehabilitation e-Cover: application of medical nursing smart caring clothing system ─ Tri-Service General Hospital

1. Tri-Service General Hospital is the only medical center among armed forces hospitals. The hospital includes Neihu main hospital, Tingzhou branch, Keelung branch, Penghu branch, and armed forces outpatient center. Except Penghu branch, the locations of each branch is in the capital in Taiwan, Taipei City and New Taipei City. It is with easy access link by land, sea and air as well as is close to Neihu and Nangang science and technology parks.

Total number of employees in the main hospital is around 4,056 people, 328 attending physicians and total number of bed is 1,895.

2. The main features offered by the medical care in our hospital includes the establishment of “Women’s Health Care Center”, “Cancer Prevention and Control Center”, “Positron Emission Tomography Center”, “Haemophilia Prevention and Control Center”, “Assisted Reproduction Medicine Center”, “Medical Imaging Center”, “Health Management Center”, “Cardiovascular Surgical Intensive Care Unit”, “Chinese Medicine Clinic”, “Early Intervention Joint Assessment and Intervention Clinic” , “Cancer Research Room”, “New Drug and Chinese Medicine Clinical Experiment Center”, “Stereotactic Radiosurgery Center” and “Tingzhou Nursing Home”.

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Quality , We together

Kaohsiung Veterans General Hospital

Establishment of virtual reality simulation training environment for first-aid treatment to patients with multiple traumas (ATLS VR simulation) Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 11

In order to enhance the learning effects on students and meet the actual situation, scenario simulation teaching is used for students to experience the simulated clinical care situation through interactive learning during their studying. Through the interactive and instructor-aided response system applied to various procedures, it will be able to reach double results with only efforts.

The main target in our hospital is to introduce the teaching material to other departments afterwards through the successful establishment of the teaching material so that the learning will be able to achieve horizontal expansion continuously.

Our hospital selects “the first-aid treatment to patients with multiple traumas� as the main implementation area based on the consistence and availability. Through user-friendly interface and powerful VR editor, we developed a set of MAGIC VR editor. The editor is able to provide 3D basic model material database, storyboard editing function, 3D material editing function, and interactive setting function as well as to output and support VR head-mounted device. The project is implemented step by step through step 1: demand analysis of virtual reality and cloud service; step 2: MAGIC VR editor design and development as well as model establishment of 3D material database; step 3: demonstration and course presentation; step 4: launched formally and establishment of experience camp.

Humanity Integrity Professionalism Innovation

Experience sharing and implementation performance

Implementation benefits

Our hospital participated in 2018 Medical Taiwan exhibition.

1. System utilization analysis should be carried out after the completion of system establishment: (1)Lesson plan feasibility investigation: Its level of importance and testability should both achieve more than 4 points. (full mark: 5 points) (2)Experience satisfaction from lesson plan writer, students, and teachers: After the experience, the items of facility utilization, lesson plan design, and scene design must be responded by more than 80% of participants with the feedback of more than satisfied.

(3)Learning satisfaction from students and teachers: According to the result of survey, the establishment of the system enables students to increase knowledge, enjoy learning, reduce learning difficulty, and be willing to share experience with other people. After being experienced by examiners, they all provide highly positive feedback towards the increase of the pleasure in teaching and the reduction of loading in teaching.

(4)It not only can reduce the efforts and costs spent on producing the content of virtual reality but also be able to output a great deal of the VR content through rapid reproduction.

2. It eases teachers’ teaching pressure invisibly, reduces students’ mental stress in dealing with actual patients in the future, and enables continuous development on the system without limitation.

3. The installation of the system only requires reactivating the learning system and relevant operational equipment and students will be able to carry out online practice “timely” and “repeat”. It reduces the consumption of human resource and 30% of expenses in teaching material and venue for the hospital.

Establishment of virtual reality simulation training environment for first-aid treatment to patients with multiple traumas (ATLS VR simulation) ─ Kaohsiung Veterans General Hospital

Medical clinics, hospitals, and relevant enterprises visits and exchange.

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Quality , We together

Product photo

Establishment of virtual reality simulation training environment for first-aid treatment to patients with multiple traumas (ATLS VR simulation) ─ Kaohsiung Veterans General Hospital

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Humanity Integrity Professionalism Innovation

Hospital introduction

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Keyword

VR, virtual reality

ATLS VR simulation Traumatic patient

Simulated training

Interactive learning

Contact details for medical integration solution Name of institution/ supplier: Kaohsiung Veterans General Hospital Department: Research and Innovation Center Contact person: Kuo Han-Chun Tel: (07)342-2121 ext. 1607 E-mail: hjkuo@vghks.gov.tw

Establishment of virtual reality simulation training environment for first-aid treatment to patients with multiple traumas (ATLS VR simulation) ─ Kaohsiung Veterans General Hospital

Our hospital was formally opened on October 31st, 1990 as “Taipei Veterans General Hospital, Kaohsiung Branch” and was restructured and upgraded as “Kaohsiung Veterans General Hospital” on July 1st, 1993. In 2017, the hospital was rated as the qualified medical center and class I teaching hospital for the 8th time. We have good reputation and recognition among the social public since establishment.

In responding to the demand and keeping up with time, our hospital established Center for Geriatrics and Gerontology and its building was completed and open to the public in November, 2014 to deal with excellent and delicate service of geriatrics integrating with outpatient and hospitalization as well as development of long-term care business step by step.

Medical features developed in our hospital: We establish Trauma Center, Cardiovascular Center, Center for Critical Care Medicine, Cancer Prevention and Control Center, Smoking Cessation Management Center, Metabolic and Bariatric Center, and Medical Cosmetic Center. Moreover, Ministry of Health and Welfare also appoints our hospital to establish Emergency Medical Operation Center for Kaohsiung and Pingtung areas at the Emergency Department in our hospital to strengthen the emergency medical service standard in Kaohsiung and Pingtung areas.

Since establishment, Kaohsiung Veterans General Hospital has always carried the core value of “high-quality service, ambitious innovation, honor the life, and all out of care and love” to work hard in enhancing regional medical standard, be actively in promoting community health building & community medical group, and support medical care in rural areas. We participate in international medical affairs in order to expand our social responsibility and scope of influence as well as fulfill the vision of “advance Kaohsiung Veterans General Hospital and build up our international recognition”!

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Chi Mei Hospital

Environment monitoring real-time notification; total management for repairing and maintenance Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 15

Medical mechanical & electrical equipment system focuses on integration technology matching with graphic control system and various controllers to form a joint central monitoring mechanism structure in order to advance system value. It achieves the operational management of medical buildings through centralized management method and the smart medical environment is achieved by the specific target.

Central management system integrates the functions of Intouch and Honeywell graphic control software, energy data concentrator and DDC controller as well as the intervention of environmental monitoring factors (such as CO emission and CO2 concentration) to construct the central monitoring mechanism required for smart energy saving.

Experience sharing and implementation performance

When the 3rd medical building was planned in 2006, the engineering section considered (1) the effective operation of engineering manpower under the limited condition, (2) huge amount of equipment management, and (3) effective safety management while cooperating with the policies in the hospital.

Humanity Integrity Professionalism Innovation

Implementation benefits

1. To reduce the cost of installation and maintenance cost: Other than the outstanding reduction on the cost of equipment installation, the personnel cost does not increase due to the number of buildings managed and double grow of the equipment number. It means the operation of the system is able to achieve the performance with less effort.

2. To increase operational and maintenance efficiency: The status of system that is control by the monitoring center can be analyzed the abnormal situation immediately. It has obvious reduction on manpower attendance (reduce from 3-4 people to 1-2 people) in terms of manpower dispatching and it achieves correct and better handling performance.

3. To enhance the effect of energy conservation in the building: Take electricity consumption in medical building 3 and 5 as an example, the setup of air conditioning suspension in these two buildings will be able to save around NT$13.41 million electricity fee every year.

Parking lot is monitored with CO emission to confirm the timing of air conditioning activation and it also saves NT$799,200 every year.

Environment monitoring real-time notification; total management for repairing and maintenance ─ Chi Mei Hospital

It includes the establishment of applying information and communication technology system in “water”, “electricity”, and disaster prevention” systems. Under the circumstance of cooperating with building planning space in the hospital, a smart, networking and efficient medical environment is successfully created through ICT (information and communication technology) smart module equipment in order to save labor expenditure, save energy consumption, and further reduce operational cost. It not only can assist in reducing the load of engineering work but also enhance medical service quality.

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Product photo

Environment monitoring real-time notification; total management for repairing and maintenance ─ Chi Mei Hospital

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Humanity Integrity Professionalism Innovation

Hospital introduction

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Keyword

Electricity

Water resource

Equipment management Performance monitoring Crisis management

Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Chi Mei Hospital Department: Quality Management Center Contact person: Senior Specialist Kuo Ya-Wei, Quality Control Personnel Chou, Hsin-Yi Tel: (06)281-2811 ext. 52955, 52950 E-mail: safe@mail.chimei.org.tw , a50749@mail.chimei.org.tw

Environment monitoring real-time notification; total management for repairing and maintenance ─ Chi Mei Hospital

The hospital was established in 1968 and it was originally named “Feng Chia Hospital” and was renamed “Chi Mei Hospital” in November, 2010. Currently, it has 883 acute bed and the total number of beds is 1,278. It has 37 departments, including medical departments, medical center, nursing, medical technology and teaching research departments as well as 13 administrative departments, 44 committees related to medical affairs and hospital affairs, and 3,800 employees.

The core values in our hospital are “concern, professionalism, and efficiency” and we carry the spirit of patient-centered approach.

The hospital aims at “developing excellent featured medical care”, “research innovation and cultivating excellent talents”, “lean process and strengthening service quality”, and “flexible management and sustainable operation” to construct the organizational culture of good medical quality, patient safety protection, and patient right maintenance as well as to promote the public’s and employees’ health in order to become “the most reliable health care system by the public”.

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Cathay General Hospital

Smart system for medical equipment maintenance and repairing actions —Cathay General Hospital Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 19

Medical equipment is the necessary asset in the hospital to assist clinical diagnosis and treatment, and it is related to patients’ and colleagues’ safety. In order to maintain the medical equipment in good state, medical equipment management must be carried out. There are numerous items of medical equipment in the hospital and they are spread out at each clinical department; the state and quantity of the equipment are very difficult to control. In terms of daily maintenance, it is often seen that all sorts of paper cards are hung on the equipment or information, such as operating instruction, trouble shooting and maintenance card. For repairing, the problems of the using unit forgetting to issue repairing request form or unclear description on the malfunction of the equipment are common.

In the past, medical equipment is documented with hardcopy by manual and it requires a lot of labor and time and is not easy to manage. With the concept of achieving the maximum efficiency of medical equipment management process and making sure the equipment is available and safe, our hospital develops “smart system for medical equipment maintenance and repairing actions” on our own to provide users maintenance and repairing request service timely. It also provides equipment information of repairing and maintenance for medical engineers to advance working efficiency in order to facilitate management and control the status of the medical equipment.

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Experience sharing and implementation performance

Implementation benefits

Smart inspection system with user-friendly system inquir y platform and convenience is established and the improved items include incomplete list of medical equipment at the department, incomplete information provided on the repairing request form, failure of completing daily maintenance according to the schedule, no submission of repairing request form, the delivery process of repairing request form delaying the receiving time by medical engineers, hardcopy retention of medical equipment traceability and plan, difficulty in storing working forms, paper work of daily maintenance, missing information by requesting repairing through phone call, the manual schedule collection failing to control the maintenance schedule of the all equipment, and reference instruction for operating equipment correctly. The overall benefits are as below :

Smart system for medical equipment maintenance and repairing actions—Cathay General Hospital

Information management platform that meets user orientation is established to advance the management efficiency of medical equipment. Other than reducing the waste of paper copy printing and storage space, it also reduces the time wasted in personnel communication to achieve medical care operation that is patientcentered.

1. To enhance the completeness of medical equipment management at the department 2. To monitor the on-time completion of Tier 1 maintenance at the department timely 3. To shorten time needed of maintenance and repairing 4. To collect operational data related to medical equipment timely 5. It is estimated more than 20,000 forms can be saved at the whole hospital in a year as well as the printing and consumable fees generated behind. It can further reduce administrative cost and expense as well as the storage space.

6. Since March, 2018, it has been unfolded horizontally in stages to the units in the hospital that use medical equipment.

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Smart system for medical equipment maintenance and repairing actions —Cathay General Hospital

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Hospital introduction

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Keyword

intelligent medical equipment management system smart inspection system

medical equipment maintenance

medical equipment repair patient safety

Smart system for medical equipment maintenance and repairing actions ─ Cathay General Hospital

LinYuan Group Cathay Life Insurance Company established Cathay General Hospital based on “care for the society and contribute to the society”. It was formally open for use on February 15th, 1977. In the early stage of the establishment, the number of patients continued increasing under the fully support

by National Taiwan University Hospital and the efforts of all employees and its scale expanded from 300 beds in the beginning to 821 beds at the moment. Due to the positive recognition received from the public and in order to avoid patients exhausted by the long journey, Neihu branch (changed the name to Neihu Cathay Clinic in 2008), Hsinchu branch, and Sijhih Branch were established one after another. Cathay medical network that is with medical center, regional hospital, local hospital and clinic was formed to carry out the responsibility of taking care the health of the public in northern Taiwan.

Contact details for managing webpage of smart medical products at the hospital in the future： Name of institution/ supplier: Cathay General Hospital Department: Quality Management Center Contact person: Hung Sheng-Hui Tel: (02)2708-2121 ext. 3361 E-mail: angel@cgh.org.tw 22

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Kaohsiung Medical University Chung-Ho Memorial Hospital

Guardian angel for patients and medical personnel- smart integration and application of cloud-based medication record

Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 23

Our hospital considers characteristics in different departments and divisions and proposes the feasible strategy of cloud-based medication record integration and application from medical users’ viewpoint: 1. Application in Department of Pharmacy: Smart medication record, drug-herb interaction, and medication treatment reminding.

2. Application in Department of Medical Imaging: The system will verify whether the same physician order has been issued in each hospital branch in the past 6 months, check contraindication (such as allergy to radio contrast agents) and necessary inspection value (such as kidney function), and look up reports in other hospitals.

3. Application in Department of Dentistry: It is with medication treatment reminding (such as antithrombotic agents) and the system will verify whether physician order of dental cleaning, cavity filling or extraction on the same tooth has been issued in each hospital branch within 180 days.

4. A pplication in Department of Laboratory Medicine: Cloud data is integrated into examination report system to make sure personnel can fully control various examination trends carried out on patients.

The examination physician orders in the cloud will be integrated with various medical data related to patients.

5. Application in Department of Physical Medicine and Rehabilitation: The system will verify and send warnings on diseases as well as check the items and implants received for rehabilitation treatment the patients have done in other hospital branches.

6. A pplication in Department of Chinese Medicine: The system will display automatically for whether any drug-herb interaction is involved.

Humanity Integrity Professionalism Innovation

Experience sharing and implementation performance

Implementation benefits

1. Visualized signs are used to solve the problem of difficult to observe and find out the prescription in doubt due to huge volume of the complete medication records in order to enhance the application of cloud-based medication record done by medical personnel and the clinical effectiveness.

2. D rug-herb interaction is filed with NHI code in comparison with drug ATC code that is with anticoagulant effect. When the cloudbased medication record finds out the issuance at the same time, the warning can be proposed effectively to reduce the occurrence of serious adverse reaction.

3. T he reminding mechanism for the treatment schedule of acute coronary syndrome antiplatelet preparation can be set up to use the function of cloud-based medication record for the integrating and reminding treatment schedule. It can avoid medication waste as well as prevent patients from unnecessary medication.

4. R eminder for dental medication treatment can be set up. When doctors execute invasive treatment, the clinical physician will be informed by the reminding mechanism to decide the patient’s treatment schedule. The patient’s medication prescription is not necessary fully limited in the clinic at the same hospital or hospitalization. Therefore, the function of cloud-based medication record allows physicians to understand the patient’s medication before treatment in order to ensure treatment safety.

Guardian angel for patients and medical personnel- smart integration and application of cloud-based medication record

Through the platform, each relevant unit should put patient safety in priority and fulfill the concept of lean healthcare and using the resources well.

Information system is combined to develop the application strategies with features, and it is anticipated that the system can be well used and continued improved to offer the further protection to patient safety. Meanwhile, the colleagues who engage with medical work can provide excellent service in a safer environment so that the limited medical resources can be effectively used and the good health insurance system can be sustainably developed in order to create a multiple-win situation among government, medical circle and the public.

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Guardian angel for patients and medical personnel- smart integration and application of cloud-based medication record

Hospital introduction

Kaohsiung Medical University Chung-Ho Memorial Hospital was established in 1957, and it was the first private medical university hospital. Its purpose of establishment is teaching, research and service. There are 1,704 beds in the hospital and it includes 68 clinical medical divisions and 10 integrated medical center. It provides outpatient service for more than 1.93 million people every year as well as more than 0.44 million patients the inpatient medical service.

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Keyword ■ ■ ■ ■ ■

Cloud-based medication record

Drug-herb interaction Cloud data

Smart integration

System verification

Guardian angel for patients and medical personnel- smart integration and application of cloud-based medication record

Since 1989 when the hospital was rated as medical center and teaching hospital until now, we have been continued awarded domestic and international certification and awards in the past years, including American Society for Experimental Pathology certification, Taiwan TAF certification, cancer diagnosis quality level A certification by Bureau of Health Promotion, Department of Health in Taiwan, and silver award, bronze award and certification

by SNQ Healthcare Quality Improvement Campaign. In April, 2016, our hospital become the first medical center in south Taiwan that passed international JCI certification and we passed JCI continuous assessment done every three years in May, 2019.

Our hospital carries medical ethics, fulfills our social responsibility, implements patient-centered medical service concept, devotes to offer high-quality top medical service and provides the best medical care to patients.

Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Kaohsiung Medical University Chung-Ho Memorial Hospital Department: Medical Safety Management Center Contact person: Cheng Ssu-Pei Tel: (07)312-1101 ext. 5133 E-mail: 1030756@ms.kmuh.org.tw 26

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Chiayi Chang Gung Memorial Hospital of the C.G.M.F.

Error termination- creating mistakefree smart Chinese medicine administration service system Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 27

Using barcode system to stop drug dispensing error is the target that the medical circle is working for in the past recent years; the same as that for Chinese medicine.

Therefore, our hospital is active in promoting the prevention of Chinese medicine medication negligence through information technology in the information system structure that is dedicated to Chinese medicine, including “concentrated Chinese medicine dispensing checking system” at the drug dispensing side and “Chinese medicine administration checking system” at the drug issuing side. Other than above systems, “Chinese medicine verification data management system” is built up in order to further analyze and manage the dispensing operation done by pharmacists and it can be used to check the information generated during dispensing process in order to trace and analyze the reasons for mistake and enhance service quality. Through the establishment of the above systems, the following targets can be achieved : 1.Concentrated Chinese medicine barcode checking system: To eliminate the negligence of Chinese medicine dispensing.

2.Chinese medicine medication administration system: To ensure the correctness of medicine administration, dosage type and total amount as well as to facilitate health education counseling service.

3.Chinese medicine verification data management system: To advance management efficiency and provide accordance of continuous improvement on each operation.

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Experience sharing and implementation performance

Implementation benefits

1. In the past years, all of the prescription dispensing in our hospital is executed with the assistance of information technology. The execution rate of Chinese medicine affair service provided through “concentrated Chinese medicine dispensing checking system” and “Chinese medicine medication administration system” is 100%.

The medication administration quality is effectively enhanced.

2. The analytical result of “Chinese medicine verification data management system” reveals all of the potential events of dispensing mistake that might happen are stopped through the reminding of “concentrated Chinese medicine dispensing checking system”. The number of the case actually happens is zero and it stops Chinese medicine medication administration mistake effectively.

3. Other than ensuring the correctness of medication administration, “Chinese medicine medication administration system” allows pharmacists obtain real-time information needed for health education counseling service through the system connection and it is good for the enhancement of service efficiency and quality.

Error termination- creating mistake-free smart Chinese medicine administration service system ─ Chiayi Chang Gung Memorial Hospital of the C.G.M.F.

During pharmacists’ clinical work, each step from receiving prescription, reviewing the prescription, dispensing drugs, verification to medication delivery to patients is involved with the interaction among “personnel-equipment-operational environment”. There was no complete system in the past to record the interactive process of dispensing done by pharmacists with equipment and environment, and it is very difficult to investigate various factors of dispensing negligence from pharmacists.

Through the introduction of the smart Chinese medicine medication administration service system, administrators will be able to re-plan the educational training courses, operational flow, and drug storage location management for pharmacists based on the abnormal message according to the information analysis provided by the system other than it can comprehensively enhance medication administration service quality. The improvement strategies are continued proposing to enhance Chinese medicine medication safety to the public. Relevant outcome has obtained the cognition from SNQ National Quality Mark.

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Error termination- creating mistake-free smart Chinese medicine administration service system ─ Chiayi Chang Gung Memorial Hospital of the C.G.M.F.

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Hospital introduction

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Keyword

Barcode System

Electronic Barcode Checking System

Barcode Medication Administration System Data Management System Smart Service System

Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Chiayi Chang Gung Memorial Hospital of the C.G.M.F. Department: Department of Pharmacy Contact person: Tai Chun-Tien Tel: (05)362-1000 ext.2347 E-mail: flamquit@cgmh.org.tw

Error termination- creating mistake-free smart Chinese medicine administration service system ─ Chiayi Chang Gung Memorial Hospital of the C.G.M.F.

Chiayi Chang Gung Memorial Hospital obtained business license in December, 2001 and formally provided medical service in the level of medical center and with high-quality outpatient, hospitalization, and emergency to the public of 2 million people in Yunlin, Chiayi, and Tainan. During a period of 10 years, the hospital successfully integrated acute and chronic medical care, longterm nursing, and medicine education and it has become a complete system.

Other than promoting sustainable medical operation, develop featured medical care service, and advance the medical environment that is focused on patient rights and interests, our hospital carries the concept of using what you take from the society for the society to cooperate the promotion of various national health policies. Acute, chronic and long-term cares are established to integrate medical care system service vertically for the benefits of the public in Chiayi area as well as expand the promotion of rural area medical care service in order to fulfill our social responsibility. In addition, our vision is to become Chang Gung that is equipped with humanity, technology, teamwork, learning, information and innovation. Therefore, we have focused in promoting information operation since a long time ago with the anticipation that the introduction of information technology will be able to comprehensively enhance medical care quality and public medication safety.

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Changhua Christian Medical Foundation Yuanlin Christian Hospital

Intelligent automation rehabilitation scheduling management

Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 31

The project mainly focuses on the improvement of rehabilitation patient registration, patient treatment and scheduling management process. Our hospital integrates demands and makes it simple through the advanced network integration information and medical system to established“intelligent automation rehabilitation scheduling management” system. The system provides “intelligent service, mobile rehabilitation treatment management, and integrated rehabilitation scheduling management” to shorten registration time needed for patients, real-time information related to treatment for therapists and patients, and create management value. The purpose is to meet patients’ and family members’ demands and provide efficient and highquality rehabilitation treatment, conduct real-time management monitoring in order to create a friendly, safe and efficient environment for rehabilitation treatment.

Experience sharing and implementation performance

The promotion of the project is completed after the discussion by a crossteam (rehabilitation division, information department and manufacturer).

Software and hardware are used for implementation and the establishment process is simple and efficient; its actual performance is as below: patients use easy card for self-registration to complete registration process in a short time; touch-screen interactive whiteboard provides the leave status of therapists and announcements for patients to control the latest news in the treatment room; push notification system links to the status of highly-used instrument and display users number and the number in the queue timely; mobile therapist check the patients’ registration status, the content of physician order and patients’ contact details at any time as well as activates substitutes and handover notes in order to enhance treatment efficiency and quality; scheduling console integrates patients’ treatment information and therapists’ available time, and the scheduling is done on the console directly by the manager for therapists to obtain the scheduling results through mobile therapist in order to simplify the scheduling process; the system will provide a list of patients failing to return for treatment over a month in order to control

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patients’ attendance status and provide efficient scheduling management; monitoring the flow of patients and carrying out manpower dispatching through flow diagram in order to maintain treatment quality and appropriate working load for therapists.

Implementation benefits

Product photo

Intelligent automation rehabilitation scheduling management ─ Changhua Christian Medical Foundation Yuanlin Christian Hospital

The performance and effective evaluation of intelligent automation rehabilitation scheduling management in our hospital is as below: 1.To simplify computer operation process and shorten the registration time needed for patients: Each patient saves 160 seconds in registration and waiting.

2.To downsize manpower and reduce personnel cost: Cutting down one administrative staff and save around NT$31,500 personnel cost every month.

3.To enhance scheduling efficiency: Each patient saves 2 minutes in scheduling during the process.

4.To increase therapists’ satisfaction and rehabilitation quality: (1)Therapists are able to check scheduling and substitutes at any time and color management is used to control patients’ registration status.

(2)The matters that need to pay attention to on patients are recorded any time, looked up any time and transferred.

(3)Mobile Therapist APP activates leave substitutes for system to arrange it in the deputy therapist scheduling.

5.To save energy and reduce carbon: It saves around 28,500 pieces of paper every month.

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Intelligent automation rehabilitation scheduling management ─ Changhua Christian Medical Foundation Yuanlin Christian Hospital 33

Hospital introduction

The original intention of establishing Yuanlin Christian Hospital was to react to the local medical demands in acute and critical diseases. Under the strong medical demands from the local public and the macroscopic planning by the Superintendent at Changhua Christian Hospital, Yuanlin Christian Hospital was developed and established. It follows the latest and the highest standards in medical care, software and hardware equipment, information technology, and architecture space and creates an intelligent green hospital that is patient-centered.

Humanity Integrity Professionalism Innovation

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Keyword

Easy card self-service in registration and fee paying Touch-screen interactive whiteboard Public broadcasting system

Mobile therapist

Scheduling console PAD (7")

Cooperated partners for medical integration solution： iHealthcare provided by Advantech.

Contact details for medical integration solution： Name of institution/ supplier: iHealthcare provided by Advantech Department: Department of iHealthcare Contact person: Hung Ching-Yi Tel: 0932-993-290 E-mail: emma.hung@advantech.com.tw Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Changhua Christian Medical Foundation Yunlin Christian Hospital Department: Section of Rehabilitation Technology Contact person: Chang Wen-Yen Tel: (04)838-1456 ext.2490 E-mail: 1500450@cch.org.tw

Intelligent automation rehabilitation scheduling management ─ Changhua Christian Medical Foundation Yuanlin Christian Hospital

Yuanlin Christian Hospital develops an intelligent hospital and enhances the quality of medical care as well as reduces the possibility of human error through the assistance of computer technology. Intelligent systems are introduced to outpatient, emergency, hospitalization, examination, surgery room, and logistics management. The intelligent examination system in Yuanlin Christian Hospital links up the whole process from cashier to the examination instrument and all is controlled by the computer. After patientsregister at the cashier, all items that need to be examined will be printed by the computer directly, the label will be attached on the tube automatically, and be delivered to the appointed blood collection room. After the nursing personnel complete the blood collection, the tube will be automatically delivered to the examination instrument for the examined item. The whole process is fast and precise.

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Chung Shan Medical University Hospital

Patient-centered PFM medical record Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 35

For a long time, IT information often leaves people an impression of cold and boring and the design angle usually is away from human nature in medical care. Chung Shan Medical University Hospital started to promote electronic medical records in 2009 to upgrade and renovate information and input human warmth. The cold and boring IT medical care is returned to human nature and concern by integrating cross-discipline talents with both medical and IT professionalism, and we developed “patient-focused method” (PFM) electronic medical record on our own. The so-called patient-centered is to think from patients’ points of view and re-build up electronic medical record system for patients’ diagnosis records; that is patients’ “diagnosis diary”. All the processes from the patient entering the hospital are actually recorded, including any critical examination, surgery, special treatment, and the illness explanation carried out to the patient or family members. It is guided by images to reduce physician-patient gaps. In the whole, it is established based on visualized electronic medical records and PFM concepts to allow new medical information system combining medical practice with human nature efficiently. Through patients’ medical and outpatient process, the pioneer new generation patient-centered PFM electronic record is established.

Experience sharing and implementation performance

We establish IT design regulations for medical record and strengthen medical record composition to equally emphasize image and text. Mobile technology is fully used to establish visualized electronic medical record to directly link the medical images and diagnosis record to the electronic record that meets the structure of DICOM and PACS through mobile device in order to achieve “easy to write by medical and nursing personnel”, “easy to read by patients”, “easy to design by engineers”, and “easy to maintain by hospital”. The most important thing is the innovative electronic medical record system is transformed to the combination of “big system and APP micro-software” instead of relying on HIS big system. It innovates and transforms medical record pattern, improves operational process, advances

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working efficiency and achieves zero error of patient identification. Besides, it follows the concept of PFM to re-design “illness situation explanation”, “treatment plan”, “informed consent” and “progression record”. On one hand, the quality of medical record content is advanced by information technology and convenient measures. On the other hand, the patient safety and physician-patient communication are enhanced at the same time. We successfully converted the difficult-to-understand medical records into simple and easy-to-understand visual medical records.

Implementation benefits

Patient-centered PFM medical record ─ Chung Shan Medical University Hospital

1. For patients (The closeness of safety in visiting the doctor is increase): We convert the content of the medical records into something that is easy for patients to understand. Therefore, patients won’t feel afraid during the diagnosis and treatment processes or leave the hospital with confusion.

It reduces the gap and difficulty in physician-patient communication and creates the closeness of safety in visiting the doctor. It is especially with outstanding effectiveness in communication skills, illness situation understanding or satisfaction in seeking medical care.

2. For medical and nursing personnel: （1）Reducing error rate in patient identification- Error rate of patient identification can be effectively reduced through mobile photo uploading and patient identification mechanism. The occurrence rate of wrong patient identification is reduced to 0%. （2）High acceptance of the system- It is a convenient and easy-to-operate system. The quantity of image uploading is significantly increased and it meets the clinical demands. （3）Reducing the transmission time of the image- The specification of the image uploaded is fixed and unified. Green channel is established to achieve fast transmission.

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Patient-centered PFM medical record ─ Chung Shan Medical University Hospital

Image 1: System planning

Image 3: Using by inpatients Image 2: Introducing to outpatient system

Hospital introduction

Chung Shan Medical University Hospital is one of the medical centers in Taiwan. The purpose of the hospital is “healing people, healing disease, and healing spirit” and it is a comprehensive hospital that emphasizes human nature. Due to system planning, establishment, implementation application, and management are with significant effectiveness and human-centered feature. Therefore, it is a key indicator hospital in the medical information development all over Taiwan.

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Currently, we implement human development in medical big data at an unpopular system and carry out key planning in analysis and application.

Especially, the development foundation of an intelligent hospital that is centered by data must not get away from patient-centered concept, human nature, and the education spirit that the intelligent should pass on. Overall, the development process of the core system in our intelligent hospital is in the leading-edge of the trend. Moreover, we received many special honors in 2018, including Healthcare Quality Improvement Campaign and intelligent hospital mark issued by Joint Commission of Taiwan.

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Electronic medical records based on Patient-focused Method

Patient-centered

Healthcare /Hospital Information System Structured systems

Physician – Patient Communications Portable image recorders

Cooperated partners for medical integration solution

The system is developed by our hospital. If you are interested in it or would like to know about it, please contact our hospital. Currently, the technology has moved into mature and stable stage and has been proposed new patent application.

Contact details for medical integration solution Name of institution/ supplier: Chung Shan Medical University Hospital Department: Department of Medical Information Contact person: Deputy Superintendent Tseng Chih-Jen Tel:(04)2473-9595 ext. 34121 E-mail:tsengcj@gmail.com Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Chung Shan Medical University Department: Department of Medical Information Contact person: Secretary Tseng Hsin-Hui Tel:(04)2473-9595 ext. 34121 E-mail: cshe623@csh.org.tw

Patient-centered PFM medical record ─ Chung Shan Medical University Hospital

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Keyword

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Chung Shan Medical University Hospital

Human-centered and smart nursing care Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 39

Chung Shan Medical University Hospital establishes smart wards to integrate various information and communication platforms through the installation of clinical information system. It can also simplify operational process, advance working efficiency, and effectively improve the information communication among physicians, nurses and patients in order to provide an excellent care with the priority of patient safety.

The Superintendent in our hospital invites Department of Medical Care, Information Office, and Department of Nursing to form a cross-functional smart ward task force to carry out regular meeting with information supplier. The system planning, establishment, discussion, and optimization are implemented according to the clinical demands. Smart ward system is positioned as equipment that supports clinical practice done by medical personnel, and each piece of equipment has its specific software function. Three key functions are innovated and developed, including exclusive nursing function, digital room card, and bed clearance upon discharged. Other than maintaining patient safety and enhancing quality of medical care, the purpose is to make the clinical practice process done by medical personnel simple, shorten working hours, and save tangible and intangible costs.

Experience sharing and implementation performance

The software development for smart ward requires sustainable development. It relies on nursing and information teams to follow the new policies regulated by the hospital or government and the conventional process after empirical research to actively build up smart functions. For example, the physician-patient shared decision making (SDM) platform vigorously promoted

by Ministry of Health and Welfare and we implement it by displaying digital information through patient information terminal system. Another example is rapid response team (RRP), the demand function in the smart ward will be able to be updated in real time. Nursing personnel can upload the patient’s

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evaluation information at the ward and the information system will immediately determine the level of modified early warning score before sending the notice at the same time to the relevant medical personnel according to the level. The early invention for treatment can be carried out to achieve warning effect and avoid emergency.

Smart ward carries the nursing concept of patient safety as the priority.

Patient medication, fall prevention, infection control, and handover information are checked through various information and real-time supervision to effectively enhance medical are quality and patient safety.

Implementation benefits

Human-centered and smart nursing care ─ Chung Shan Medical University Hospital

Other than avoiding repeat transcription by medical and nursing personnel or the wrong transcription on patient information and medical information, the interfacing of medical information system in our hospital and smart ward information also innovates four items and eight categories of mobile nursing function, digital room card and bed clearance upon patients being discharged.

The system can also automatically produce statistical reports for eight key items to advance management effectiveness. The specific effect after launching smart ward is the incidence of falls at six units reduced from 0.14% to 0.09%.

The reporting function of care message shortens the resolving time of nursing demand from 10 minutes to 5.4 minutes and the time of contacting nursing personnel is shortened from average 6.6 minutes to 0 minute. Each unit can reduce around NT$10,200 in the cost of general affairs every month in average while the estimated cost saved on time and manpower is around NT$43,000.

The satisfaction towards smart ward system optimization from nursing personnel is increased from 51% to 80.36% while the average satisfaction on hospitalization service from inpatients achieves 95.75%. The function of bed clearance upon discharged shortens the time needed for cleaning and arranging bed from 30 minutes to 22 minutes.

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Human-centered and smart nursing care ─ Chung Shan Medical University Hospital

Hospital introduction

Dr. Chou Ju-Chuan founded the hospital in 1966 and the philosophy

is “the purpose of medicine is to save people while healing people and healing disease require healing the heart; we should love our patients

just like we love our family members and working hard makes a good physician”. The hospital has always followed the purposes of “healing people, healing disease, and healing heart” and work hard to develop

featured holistic care service and build up patient-centered smart medical building. Currently, it has become one of the most featured medical centers.

Target of the whole employees in the hospital is to pursue outstanding

quality and provide services that touch the public. Our medical team applies

patient-centered teamwork pattern to offer holistic care service to patients.

The nursing team carries the purpose of caring for life and nursing patients 41

Humanity Integrity Professionalism Innovation

with heart and offers the comprehensive care to patients, including body, heart and spirit. The information team constructs electronic medical record

system and promotes the medical information service of paperless and no hard copy of image, and it has become indicator hospital all over the country.

Our administrative team establishes humanity and safety mechanism in the

hospital making hospital management intelligent and hospital environment hotel-like. The unique smart hospital planning and management makes the benchmark in the same industry.

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Smart healthcare Smart ward

Mobile nursing

Nursing function

Digital room card

Patient information terminal (PIT）

Cooperated partners for medical integration solution： Advantech Co., Ltd. Contact details for medical integration solution Name of institution/ supplier: Chung Shan Medical University Hospital Department: Department of Nursing Contact person: Sun Yu-Ching Tel:(04)2473-9595 ext.34953 E-mail:cshp032@csh.org.tw Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Chung Shan Medical University Hospital Department: Information Office Contact person: Lin Cheng-Hung Tel:(04)2473-9595 ext.34571 E-mail:cshe563@csh.org.tw

Human-centered and smart nursing care ─ Chung Shan Medical University Hospital

Keyword

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Kaohsiung Veterans General Hospital

Integrating data with AI technology to create holistic medicine smart care system

Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 43

Medical service has moved towards specialization due to the enhancement of quality and the electronization of medical records further spread out the care records done by the medical team and cause the failure of providing complete and continuous holistic health care. Our team consists of clinical departments (Division of Medicine, Division of Surgery, Division of Emergency, intensive care medicine, family medicine, geriatrics, and nursing), various medical personnel (pharmacy, rehabilitation, nutrition, social worker, and respiratory therapy), medical teaching, quality management, medical affair management, and information office. The concept of holistic medical care is realized through information technology as well as holistic medicine smart medical care system is established as the supporting system for decision making in the team.

Holistic medicine smart medical care system contains five innovative features: “pioneer of 3 by 2 grid holistic medicine panoramic image smart system”, “pioneer of holistic smart activation cloud computing (holistic medicine AI screening system)”, “pioneer of creating disease exclusive weight by analytic hierarchy process (AHP) based on the attributes of the disease classification”, “pioneer of holistic meeting dual-starting system”, and “pioneer of holistic meeting information integration system”.

Experience sharing and implementation performance

Image 1. Awarded 2018 Healthcare Quality Improvement Campaign-Smart Health Mark

Humanity Integrity Professionalism Innovation

Implementation benefits

Image 3. Obtained patent

1. Since the launch of the holistic medicine smart care system for the 2.5 years, holistic meetings has been held for 378 cases (around 10 cases/ month).

Demands from patients are put as priority to provide holistic care. Among them, the holistic meetings with participants from at least 4 types of medical personnel were around 90%. Patients/ family members were also invited to the meeting for shared decision making (SDM) with participation rate of 74% and satisfaction rate of 93%.

2. With the joint discussion of personnel from multiple positions at the holistic meeting, the multiple concerns from patients or family members can be solved (83.7% medicine, 86.2% nutrition, 65% medication, 52.2% after care/ arrangement, 38.4% rehabilitation, 34% mental support, and 15.3% hospice discussion). It achieved the reduction of days of hospitalization and avoided medical dispute.

3. Convening rate of holistic meeting for acute stroke achieving the holistic assessment standard: Before introducing the system, there was no team meeting held. After introduction, the convening rate of the meeting was increased to 87.5%. The team uses the designed stoke PAC decision-making aided tool to explain to patients/ family members for whether to carry out SDM down referral and the hospital referred and its execution rate was increased to 94%. The down referral rate of patients meet PAC indications was increase from 42.2% to 65%.

Integrating data with AI technology to create holistic medicine smart care system ─ Kaohsiung Veterans General Hospital

Image 2. Awarded 2018 Kaohsiung KIDE International Invention Gold Award

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Product photo

Integrating data with AI technology to create holistic medicine smart care system ─ Kaohsiung Veterans General Hospital 45

Hospital introduction Our hospital was formally opened on October 31st, 1990 as “Taipei Veterans General Hospital, Kaohsiung Branch” and was restructured and upgraded as “Kaohsiung Veterans General Hospital” on July 1st, 1993. In 2017, the hospital was rated as the qualified medical center and class I teaching hospital for the 8th time. We have good reputation and recognition among the social public since establishment.

In responding to the demand and keeping up with time, our hospital established Center for Geriatrics and Gerontology and its building was completed and open to the public in November, 2014 to deal with excellent and delicate service of geriatrics integrating with outpatient and hospitalization as well as development of long-term care business step by step.

Humanity Integrity Professionalism Innovation

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Keyword

holistic medicine smart medical care system data integration

analytic hierarchy process (AHP)

holistic meeting

holistic smart activation cloud computing Contact details for medical integration solution Name of institution/ supplier: Kaohsiung Veterans General Hospital Department: Medicine Department Contact person: Ms. Tseng Yu-Wen Tel: (07)342-2121 ext. 2005 E-mail:ywtseng@vghks.gov.tw

Integrating data with AI technology to create holistic medicine smart care system ─ Kaohsiung Veterans General Hospital

Medical features developed in our hospital: We establish Trauma Center, Cardiovascular Center, Center for Critical Care Medicine, Cancer Prevention and Control Center, Smoking Cessation Management Center, Metabolic and Bariatric Center, and Medical Cosmetic Center. Moreover, Ministry of Health and Welfare also appoints our hospital to establish Emergency Medical Operation Center for Kaohsiung and Pingtung areas at the Emergency Department in our hospital to strengthen the emergency medical service standard in Kaohsiung and Pingtung areas.

Since establishment, Kaohsiung Veterans General Hospital has always carried the core value of“high-quality service, ambitious innovation, honor the life, and all out of care and love” to work hard in enhancing regional medical standard, be actively in promoting community health building & community medical group, and support medical care in rural areas. We participate in international medical affairs in order to expand our social responsibility and scope of influence as well as fulfill the vision of “advance Kaohsiung Veterans General Hospital and build up our international recognition”!

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Kuang Tien General Hospital

Seamless integration between acute medical care and long-term care Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 47

The main target of the system is to construct “nursing home management system” that links the nursing records between medical care and nursing home. The integration care will be linked to the long-term care institution when the discharging planing in the medical system starts. Green channel is established between the hospital and the nursing home to link operation flow and information flow and to share the care record done in the interdisciplinary team (physician, nurse, pharmacist, dietician, physiatrist, social worker, and carer) in order to provide one-stop service and seamless connect front-end medical care and rear-end continuity of care together.

Experience sharing and implementation performance

Through the practical clinical application of the system, we found that “medical and care information need to be effectively integrated in order to actually provide continuity of care”. The residents in the nursing home usually have multiple diseases and complicated illness record, and they are often hospitalized due to the complication of multiple diseases and acute symptom during the care process. New demand of nursing often occurs during hospitalization due to function deterioration, and patients will have to travel between the hospital and the nursing home frequently.

When patients visit the doctor in the hospital, physicians need to understand the care records and suggestions from other professional team (such as nurse, dietician, psychologist, physiatrist, social work, and pharmacist) in the nursing home. When patients receive care in the nursing home, healthcare information often needs to be integrated and obtains the care suggestions from physicians due to the complicated medical records.

Therefore, the information of acute medical care and the institutional longterm care information in the nursing home must be seamlessly integrated and connected before the cross-institution continuity of care can be provided.

Humanity Integrity Professionalism Innovation

Implementation benefits

Product photo

Seamless integration between acute medical care and long-term care ─ Kuang Tien General Hospital

1. Effectiveness of acute medical care and long-term care integration: After integrating acute medical care operation flow and information flow with the long-term care system in the nursing home, the overall care operation efficiency can be advanced 97%. Take the monthly routine medication evaluation operation for the resident patient and ECRS operational process analysis as an example, 17 operational steps will be required to evaluate a patient before integration, but it was simplified to 4 steps after integration with 78.8% operational time reduction.

2. Communication benefits of interdisciplinary care: After the information flow at the acute medical care flows into the long-term care, it makes the opinion exchange among interdisciplinary team easier so that the continuity of integrated care can be provided.

3. B enefits of family service APP: The integration of bill payment reminder makes mobile payment more convenient. Family members that use convenience store for payment through APP is around 73%.

Among them, APP download rate in Android platform is total 106 times of installation and 2,570 times of installation in iOS platform.

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Seamless integration between acute medical care and long-term care ─ Kuang Tien General Hospital

Hospital introduction

The predecessor of Kuang Tien Hospital was “Jen Sheng Hospital” and

it was founded by Doctor Wang Tung-Chung in 1913. It was renamed “Yang Zhen Hospital” in 1921 and renamed “Kuang Tien Hospital” in 1938. Dr. Wang Nai-Hung took the post of Superintendent in 1987 and focused on quality

improvement, medical care efficiency enhancement, and bed expansion. In 1996, its Da Jia branch was established to benefit residents in Da Jia area with accessibility of hospital visit. It established senior branch in 2005 and the scope

of medical service in the hospital was extended from preventive medicine,

acute healthcare to chronic illness care. As a result, it was awarded top rating of “distinction” for the new hospital assessment in 2010. It passed teaching

hospital assessment by Joint Commission of Taiwan in 2013, passed hospital 49

Humanity Integrity Professionalism Innovation

assessment by Joint Commission of Taiwan in 2014, passed teaching hospital

assessment by Joint Commission of Taiwan in 2017, and passed first-rate first-

aid capabilities evaluation in 2018 and become first-rate first-aid responsible hospital.

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Long-term care information systems Smart screening

Discharge Planning

Intelligent integration Continuity of care

Interdisciplinary care Mobile payment Family service

Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Kuang Tien General Hospital Department: Department of Information Contact person: Tsai Hsin-Pei Tel: (04)2662-5111 ext.2017 E-mail: it.director@ktgh.com.tw

Seamless integration between acute medical care and long-term care ─ Kuang Tien General Hospital

Keyword

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Quality , We together

Taichung Veterans General Hospital

Way finding in the hospital- Smart guidance system Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 51

Due to the number of outpatients in our hospital every day, the public usually spend a lot of time finding a parking space and the location of the clinic during the huge parking demand at the peak hours and because of the factor of spreading-out buildings in the hospital. Therefore, the improvement on the above issues becomes the key matter that our hospital has to deal with. The project focuses on various services and approaches centered on patients to propose smart solutions. Smart car finding guidance system and 3D panoramic image indoor navigation system are established to introduce novel parking management system through the technology integration of combining smart phone and the facility of intuitive direction-giving machine. The traffic and parking problems in the hospital are improved by applying modern technology and implementing smart guidance in order to shorten the time needed for parking and looking for the clinic and provide higher quality service to the public.

Smart guidance system includes : 1. S etting up the function of “panoramic image navigation inside the hospital� in World Wide Web : The public will be able to activate the webpage of VR guidance on the official website of the hospital to carry out the browse of the real scenes of indoor environment, passageway, floor and route in our hospital.

2. I ntroducing new license plate recognition and parking space detection system : Replacing the old system with license plate recognition system at each entrance and exit and establishing parking space detection and display system to help the public with quick accessing and parking.

3. S mart Kiosk inquiry machine and development of mobile parking APP navigation : The inquiry machine installed at each parking lot and the application of mobile APP navigation are used to enhance the convenience for the public to use the parking lot.

Humanity Integrity Professionalism Innovation

4. Direction-giving machine : Intuitive direction-giving machines are installed at the important intersection in the hospital. Through simple operation, the public will be able to obtain the relevant information of route guidance to the destination to reduce the time wasted in way finding.

5. APP positioning guidance : The mobile registration APP of our hospital is established with the function of positioning guidance. Through APP, the public will be guided to the destination in the hospital as well as inquire relevant services.

Due to the huge number of the public visiting the hospital every day and the huge demand of parking and way finding guidance in our hospital, the project has generated improvement effectiveness towards the heavy traffic during the peak hours in the hospital and the public guidance through introduction of technology equipment and the utilization of big data. In the future, we anticipate in continuing improvement based on the current performance to fulfill the vision of smart parking lot in order to provide a quicker and more convenient service to the public.

Implementation benefits

1. Saving the time of vehicle accessing to our hospital : The completion of recognition for each vehicle takes around 0.3 seconds (original old version of license plate recognition system requires around 2 to 3 seconds) and it is with 85% reduction.

2. Saving the time used for finding a parking space and parking : The average time needed for the public visiting our hospital at the peak hours from entering the hospital area to completing parking is around 40 minutes/ car. After introducing license recognition system, parking space detection system and parking lot smart guidance APP, the average time needed for the completion of parking at the peak hours is reduced to 15 to 20 minutes/ car with 50% reduction. Other than shortening the parking time, saving parking fee, and enhancing satisfaction, it also achieves energy conservation and carbon reduction.

Way finding in the hospital- Smart guidance system ─ Taichung Veterans General Hospital

Experience sharing and implementation performance

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3. Enhancing patients’ and family members’ satisfaction : In terms of parking and guidance, the public satisfaction has increased from 3.66 to 4.07.

4. Shortening the time that the public and the patients used to look for the clinic or examining and testing rooms : Through the combination of current indoor 3D panoramic image navigation system and the function of direction –giving machine in our hospital, the system is able to effectively shorten the time that the public and patients used to look for the clinic or examining and testing rooms in more than 3 minutes in average per person.

Way finding in the hospital- Smart guidance system ─ Taichung Veterans General Hospital 53

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Humanity Integrity Professionalism Innovation

Hospital introduction

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Keyword

Smart parking

Doctor-visiting guidance for the public Quality service

Way finding in the hospital- Smart guidance system ─ Taichung Veterans General Hospital

Our hospital established “Veterans General Hospital- Taichung Branch” on July 1st, 1982 after being approved by Executive Yuan. Medical operation was unfolded on September 16th and was restructured and upgraded to “Taichung Veterans General Hospital” on July 11th, 1988.

Since the establishment, the hospital was under the outstanding leadership and supervision by Mr. Chao Chu-Yu at the council and the predecessor and successor of chairman as well as the careful planning and full engagement from Mr. Lo Kuang-Jui and other superintendents. In 1984, it passed hospital and teaching hospital assessment and was rated “Tier 1 Teaching Hospital”.

In 1988, it was rated as “Would-be Medical Center” and “Medical Center and Class I Teaching Hospital” in the next consecutive 5 assessments. The medical quality and technology are fully recognized. The hospital also passed “New System Hospital Accreditation Scheme and Teaching Hospital Assessment “ in 2007 and 2011. The hospitalization focus on acute and critical care to provide a safe, warm, and high-quality medical service to the public. Our hospital also creates excellent teaching and training venue and presents outstanding research and development performance. We are consistent in fulfilling the established tasks and missions and actually implement the social responsibility of “health guardian” that the public medical centers are responsible for.

Indoor navigation

Parking management Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Taichung Veterans General Hospital Department: Quality Management Center Contact person: Lai Yuan-Hui Tel: (04)2359-2525 ext.2073 E-mail: yuanhuilai@vghtc.gov.tw 54

Quality , We together

Kaohsiung Medical University Chung-Ho Memorial Hospital

The denture I made is with traceabilityintroducing technician fee order system to optimize prosthodontics quality and management efficiency Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 55

The hospital successfully developed the first dental technician fee order system in Taiwan and it added another application area to the smart healthcare. Through the technician fee order is launched on line, it links the hospital with the dental technology institute, chains the operation between dentists and dental physician as well as connects order and cashier systems.

Dentists log in “physician fee order system” to create a new order after intra-oral impression on the patient’s mouth according to the patient’s chief complaint, oral hygiene and care demand and complete the selections of the prosthesis item, dental notation and material as well as select the expected delivery time before printing out the barcode and paste it on the patient’s tooth model. The system will automatically send an email to inform dental technology institute. The dental technology institute should log into the system from the dedicated area for supplier on the webpage of Kaohsiung Medical University and click confirmation to receive the order before visiting the hospital to collect the tooth model and complete the production of prosthesis and deliver it back to the hospital. Dentists should then verify whether it is consistent with the order and click receiving confirmation if there is no error.

The status of the order will show the completion of goods-receiving of the order. The dental technology institute should add the prosthesis item and its price on the order. After being verified by dentists, the technician fee order will be transferred to cashier system to print out payment slip and give it to the patient. The order is completed and ended.

Humanity Integrity Professionalism Innovation

Experience sharing and implementation performance

Implementation benefits

1. Paperless physician order: It was launched on line for testing in October, 2017 and run the paper-based physician instruction sheet and online physician fee order system at the same time. It was launched formally in January, 2018 and paper-based physician instruction sheet was fully suspended.

2. Real-time inquiry of order progress: From creating the order to transferring it for order closure, dentist and dental technology institute can check the progress on line at any time. The dental technology institute should control the new order all the time and collect the model in the hospital immediately to enhance the production effectiveness of the prosthesis.

The denture I made is with traceability- introducing technician fee order system to optimize prosthodontics quality and management efficiency ─ Kaohsiung Medical University Chung-Ho Memorial Hospital

The progress of order can be monitored any time to facilitate appointment making in order to reduce patients’tiredness caused by long journey. Especial for patients with special demands, it often is involved with other people and the intangible manpower and society costs are increased comparatively.

After confirming the prosthesis delivered by the dental technology institute is correct, patients will be able to try it and make necessary adjustment immediately when they visit the hospital. The number of time visiting hospital can be reduced and medical quality and patient satisfaction are enhanced.

It is very important to use QR code to reinforce the identification of the identity of the prosthesis. In the future, the hospital will be able to recall and show the care to the patient’s status if there is any adverse reaction that the patient has towards the prosthesis. Through the transparence of medical supply chain information, the source of raw material and the quality level of raw material can be traced according to the dental technology institute that produced the prosthesis. Sufficient information will be provided to report to the hospital, and relevant competent unit, like Ministry of Health and Welfare, timely if there is any abnormality to achieve the purpose of enhancing medical quality and patient safety as well as meet the medical care regulations of the implant.

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The denture I made is with traceability- introducing technician fee order system to optimize prosthodontics quality and management efficiency ─ Kaohsiung Medical University Chung-Ho Memorial Hospital 57

3. Management efficiency optimization: The administrator should export order summary report to verify the prosthesis production progress for each dentist.

The manual data verification one by one in the past took time and manpower and it saves time and manpower to change it to auditing on line. Compared the cashier and fee application 3 months before and after the physician fee order system, all orders are transferred to cashier to ensure no missing bill after the completion of prosthesis production when the system is fully launched on line.

4. Prosthesis traceability suggestion: Each prosthesis can be traced back for its production; for example, patient A’s dental notation 46 was produced by dental technology institute B with all ceramic dental crown, palladium was embedded on the occlusal surface and A1+A2 color matching.

Product photo

Image 1. Paste barcode on tooth model after creating the order

Image 3. The dental technology institute confirms receiving the order

Image 2. The completion of prosthesis production and deliver it back to the hospital

Image 4. Confirmation of order payment amount

Humanity Integrity Professionalism Innovation

Hospital introduction

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Keyword

Physician fee order

Medical affair management Prosthesis traceability

Order digitalization

Physician fee cashier QR-code

Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Kaohsiung Medical University Chung-Ho Memorial Hospital Department: Medical Safety Management Center Contact person: Cheng Ssu-Pei Tel: (07)312-1101 ext. 5133 E-mail: 1030756@ms.kmuh.org.tw

The denture I made is with traceability- introducing technician fee order system to optimize prosthodontics quality and management efficiency ─ Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung Medical University Chung-Ho Memorial Hospital was established in 1957, and it was the first private medical university hospital.

Its purpose of establishment is teaching, research and service. There are 1,704 beds in the hospital and it includes 68 clinical medical divisions and 10 integrated medical center. It provides outpatient service for more than 1.93 million people every year as well as more than 0.44 million patients the inpatient medical service.

Since 1989 when the hospital was rated as medical center and teaching hospital until now, we have been continued awarded domestic and international certification and awards in the past years, including American Society for Experimental Pathology certification, Taiwan TAF certification, cancer diagnosis quality level A certification by Bureau of Health Promotion, Department of Health in Taiwan, and silver award, bronze award and certification by SNQ Healthcare Quality Improvement Campaign. In April, 2016, our hospital become the first medical center in south Taiwan that passed international JCI certification.

Our hospital carries medical ethics, fulfills our social responsibility, implements patient-centered medical service concept, devotes to offer highquality top medical service and provides the best medical care to patients.

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Quality , We together

National Taiwan University Hospital

Application of REDCap comprehensive smart solution Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 59

The REDCap system that is introduced to our hospital is with friendly interface and excellent flexibility. Users with no programing design background can design and establish the information project that meets demand after educational training. REDCap is generally used for case collection in the clinical research. Our hospital is innovative and applies it to clinical care, patient service and administrative management to reduce manpower operation and share real-time data in order to enhance the quality of medical care. After obtaining the licensing of REDCap, our hospital was the pioneer in the country to implement all Chinese character in the system and the instruction of more than 8,000 words were translated into Chinese. Through sound information security measures, the Medical Record Information Management Office invites the Department of Internal Medicine and the Information Room to conduct the comprehensive smart applications of the system as below: 1. Clinical care application: (1) Heart failure integrated care: The seamless service provided by the interdisciplinary team includes various evaluation, tracking, document forms, and medical record production.

(2) Intensive care unit quality management: Cloud data collect facilitates realtime evaluation and quality control data sharing.

2. Patient service application: Establishing friendly interface for online application of medical record, strengthening management of operational procedure, and tracing the application are carried out to save the waiting time for patients.

3. Medical records management for quality improvement: We are the first to apply system simplified process and assistive administrative management to enhance operational effectiveness and provide opportunities for personnel transformation.

Humanity Integrity Professionalism Innovation

Experience sharing and implementation performance

Implementation benefits

Since it was launched on line in April, 2017 until August, 2018, projects with REDCap system installation were 560 cases with total user number of 400 people and it continues increasing. The system is recognized by users and patients: 1. Interdisciplinary team work integrates and links up various evaluation operations as well as satisfies multiple practical demands including clinical care, information control, and medical record management.

2. Unique clinical case management mode enhances patient safety and medical care quality. It saves 300 hours for our medical colleagues every year with user satisfaction of 88%.

3. Online application for medical record saves each patient around 80-85 minutes of waiting time and it achieves 93% satisfaction. The improvement of medical record releasing process can reduce personnel’s operational time for around 480 hours every year.

4. Strengthening internal real-time control mechanism and providing system real-time inquiry and data exporting as well as advancing operation improvement and control through statistics analysis.

Application of REDCap comprehensive smart solution ─ National Taiwan University Hospital

Meanwhile, in corresponding to smart medicine and big data trend, our hospital works hard to simplify and integrate medical care, administrative management, and information operation. We will continue moving towards the following directions: 1. Deepening the data interaction in the healthcare information system (HIS) and effectively reduce medical errors and enhance working efficiency through the assistance of information technology.

2. Continuing using the system to simplify medical and nursing work and apply time and manpower to the work that is complicated, requires creative thinking and is with more effectiveness.

3. Carrying on using REDCap system in more multiple applications to simplify administrative operation and fulfilling the greatest value of the data through PDCA analysis and project management.

Our hospital follows the principle of patient orientation to offer betterdeveloped, higher-quality and smarter healthcare services to patients. Applies new information technology, we continue advancing operational procedures improvement of clinical care and administrative management in order to provide a comprehensive smart solution that makes work more diverse and more efficient.

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5. The obstacle of information technology is overcome and users with no information background can establish the functions needed to save development cost and shorten development schedule.

6. In responding to the promotion of electronic medical records, the business of medical record management cooperates with transformation and provides colleagues advanced learning opportunity and increase new skills needed for transformation.

7. Establishing the mode sharing of information promotion to encourage internal hospital, 5 branches, external hospital and association to share together in order to successfully copy the experience.

8. Innovative application to enhance the operational efficiency of medical record management administration. The satisfaction of colleague is 90%.

Application of REDCap comprehensive smart solution ─ National Taiwan University Hospital 61

Product photo

Humanity Integrity Professionalism Innovation

Hospital introduction

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Keyword

REDCap (Research Electronic Data Capture)

Clinical care application

Online application for medical record Medical record management

EMR (Electronic Medical Record)

Application of REDCap comprehensive smart solution ─ National Taiwan University Hospital

National Taiwan University Hospital was founded in 1895 and it was the largest and modernist hospital in Southeast Asia at that moment. Currently, it has more than 6,000 employees, more than 2,400 hospital beds and more than 8,000 outpatients every day. Since its establishment more than a hundred years ago, it has cultivated numerous talents in the medical circle and they are distributed all over the world with excellent performance. As the national teaching hospital, the hospital holds brilliant records and achievements in terms of teaching, research, and patient service. The quality of clinical healthcare is even more well-known and it is highly trusted by the people in the country. The service orientation of focusing on patient safety emphasizes human caring, medical quality and patient safety management in order to offer high-quality delicate medical service. It achieves top research accomplishment in the areas of hepatitis, organ transplantation, cancer diagnosis and treatment, biophotonics, and clinical trial drug research and development as well as obtains international recognition and great reputation. Healthcare development experience and knowledge at each developed countries are captured through continuous international cooperation to promote flourishing development of medical care in our country. In the future, we will carry on following the excellent tradition and continue moving forward.

Information security

Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: National Taiwan University Hospital Department: Medical Information Management Office Contact person: Lien Ting-Chia Tel: (02)2312-3456 ext. 66057 E-mail: tingchia@ntuh.gov.tw 62

Quality , We together

Tri-Service General Hospital

Medical equipment e-information smart management system Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology

Medical equipment e-information smart management system integrates data at various management operation information systems in the original medical equipment into the same operational platform. Besides, the application of personal computer is extended and adds the function of mobile network to form a complete medical equipment healthcare platform.

It provides an interactive channel between clinical medical units and administrative departments as well as timely transmits information required among them. The cross-departmental communication channel is kept smooth, fast and friendly through technology. Medical information contains patients’ personal information, the financial information of the hospital, assets, and internal information related to each operation, and information security is absolutely the priority concern. The APP program of “medical equipment e-information smart management “developed by our hospital also follows the principle of “security first and simplified procedure” and carries the spirit for development. Information flows with different routes are designed for users with different authorities to shorten route of system data operation. Each user will be able to obtain the information needed to execute the business, and it is not only simpler and more convenient but also secure data security at the same time. The main features of the system are: 1. Comprehensive system functions.

2. Resource sharing.

3. Friendly and convenient operational interface.

4. Instant massaging for important message and data capture.

5. More simplified operational procedure.

Experience sharing and implementation performance

The effective and proper operation of the medical equipment and assets in the whole hospital will be set up reasonable maintenance method, maintenance cost control, availability enhancement, and effective management

by Department of Medical Engineering based on the statistics obtained from these information systems. It will be helpful for investment planning and budget listing of medical equipment at the unit, but the system operation at the clinical 63

Humanity Integrity Professionalism Innovation

Implementation benefits

1. Adding operational interface for handheld device, and it is easy to operate with fast and convenient data processing; personnel won’t need to wait.

2. Active reminding on production suspension notice and suggestion of replacing medical equipment that fails to meet maintenance effectiveness is helpful for units to make early planning and budgeting.

3. The operations of repairing request, maintenance, educational training, simple trouble shooting, checking for shift handover, asset inventory taking, spare equipment back up, satisfaction, and feedback can be carried out on line. The records will be kept on line to facilitate convenient inquiry and fulfill environment protection.

Medical equipment e-information smart management system ─ Tri-Service General Hospital

units will be with some inconvenience due to the operational systems were developed at different period. Through project system development, the data in the original systems will be packaged into the information needed for clinical medical units. Combining with daily medical equipment management operation at the unit, our hospital is the first to have online inquiry of back-up machine information and online registration, nursing handover list, instrument function test result uploading for file saving for future reference, automatic reminder of production suspension notice, automatic reminder of replacement suggestion, daily and monthly reports management, and contractor business maintenance record transmission. It significantly saves the time for personnel management.

Before introducing the APP, the medical supplies routine count in the nursing unit, application for borrowing back-up machine, and the primary maintenance were still conducted by paper or phone call. It not only wastes paper and difficult to be stored but also takes a lot of time. On the other hand, the completion rate of online paperless application for repairing request has achieved nearly 100% but it is limited on the hardware of personal computer and the number of network causing the limitation of the convenience of the operational system. After introducing the APP, the function of mobile network was added. Clinical medical and nursing personnel use smart phone to scan QR code on the medical equipment to enter the operation mode, and they can select the service needed. It reduces the time used on administrative affairs and furthermore the records can be stored completely for future reference.

It keeps complete records for paperless daily operation, real-time status of instrument, online emergency back-up request, common components inventory management, and medical equipment management.

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Medical equipment e-information smart management system ─ Tri-Service General Hospital 65

4. Inventory management for common materials and it can be requested on line and carried out real-time inventory maintenance in order to reduce material waiting time, enhance the reliability of medical equipment, and increase utilization effectiveness.

5. The function of daily report and monthly report provides managers daily and monthly medical equipment maintenance and repairing costs at each unit, utilization rate, status of machine lending and backing up, production suspension of the asset, and replacement suggestion in order to easily control the current status of medical equipment.

6. Contract maintenance and custody management for medical equipment in the acute and critical units. Online registration is carried out on contract maintenance and the maintenance record will be taken photos for online transmission to deal with the insufficient manpower and supervision mechanism at night or on holidays.

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Humanity Integrity Professionalism Innovation

Hospital introduction

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Keyword

Medical equipment

Smart management APP

Mobile device

Medical equipment e-information smart management system ─ Tri-Service General Hospital

Tri-Service General Hospital was established in 1946 and it is the teaching hospital for National Defense Medical Center. It is responsible for clinical medicine, teaching and research. The subjects of medical service are in-activeservice soldiers, soldiers’ family members, and general public. It is a teaching hospital in the level of medical center rated by Ministry of Health and Welfare and has played a very important role in national medical care.

In order to serve patients, our hospital continues improving diagnosis technology as well as cooperating with the key development point in each department to carry on investing to purchase advanced equipment and instrument. We also provide holistic healthcare environment and establish 30 integrated featured centers, including Center of Precision Medicine and Genomics. Our hospital appoints excellent medical personnel to learn medical new knowledge and skills at domestic and overseas medical centers. We anticipated the updating of software and hardware will be able to enhance the medical service quality and operational capability provided to soldiers, their family members, and the public with national insurance.

In the future, Tri-Service General Hospital will carry the core values of “concern, quality, discipline and innovation” to continue implementing the targets of teaching, research and service. We hope we can keep our leading position in the medical circle in Taiwan and work with domestic and overseas medical and academic research units for medical service. We would like to contribute to national soldiers and social public with brand-new appearance and advanced healthcare to establish a model for army hospital. We will work for the vision of becoming the top-choice hospital by soldiers in the country, the health protector for community public, and the international medical center.

Information security

Cooperated partners for medical integration solution An Ching Company Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Tri-Service General Hospital Department: Medical Engineering Office Contact person: Chen Yu-Ling Tel: (02)8792-3311 ext.18322 E-mail: ling7384@mail.ndmctsgh.edu.tw

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Far Eastern Memorial Hospital

Smart strategy planning and budget management platform links innovation and excellence together Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology 67

The mission, vision and goal for the whole hospital are the important developing indicators in the hospital. Each department should draw up annual work plan according to the annual development direction for the whole hospital before being reviewed and approved by the responsible unit. Our hospital has set up a complete tracking system to confirm the status of plan implementation at each department.

The self-developed planning and budget management system platform by our hospital has been launched in 2015. Other than considering the demands of the using units, the platform design also includes the demand of management. The review mechanism and card access management are included from planning and budget listing as well as integrate with other administrative management system, such as “Fixed Asset Management System” and “Requisition and Purchasing System”. The information of the process from budget review and approval to the completion of purchasing can all be effectively controlled to reduce manual operational time and enhance administrative efficiency.

Experience sharing and implementation performance

After introducing planning and budget management system, the system will record the content of annual plan at each department in details to actually push the mission, vision and target of the whole hospital. When the department draws up plan, it will be able to set up its development direction based on it.

The planning and budget review will be able to be implemented through the platform. The function of card access verification established by the system can reduce the error rate of filling out at the unit and excessive budget listing. All of the unnecessary manual work in the past can be eliminated to achieve time and cost saving and the effectiveness of enhancing correctness rate.

Humanity Integrity Professionalism Innovation

Implementation benefits

Product photo

Smart strategy planning and budget management platform links innovation and excellence together ─ Far Eastern Memorial Hospital

The system is able to assist data consolidation and verification, to initially review the screening content, to increase the correctness of information providing, and to reduce the manual verification time. It can deal with realtime efficient communication during the meeting to save the time that data transferred among departments and data consolidation. It reduces 70% of manual operational time and meeting reviewing time.

Through system connection, the information between each item and plan or budget or related to the plan the budget can be looked up in the platform.

It preserves complete information and facilitates knowledge preservation and passing on. Information can be clearly displayed in the platform. For example, the real-time budget application and purchase requisition information can be verified in the platform to reduce the time needed for review and approval.

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Hospital introduction

Smart strategy planning and budget management platform links innovation and excellence together ─ Far Eastern Memorial Hospital 69

Our hospital is the only Medical Center in New Taipei City and is responsible for acute and critical care. Currently, there are 64 divisions and 2 centers in our hospital, including Cardiovascular Center, Division of General Medicine, Division of General Surgery, Department of Gynecology, Department of Pediatrics, and other medical divisions. We have 1,383 beds, more than 6,500 outpatients for daily services, around 400 patients are treated in the emergency room that is ranked fourth in the country, and the hospital bed occupation rate is maintained over 85%. Each operation has its standard operational procedure, and ISO9001 quality system had been introduced to the hospital early back to 2004. We set up quality target each year and have passed five certifications for disease care quality. We are the leading hospital in north part of Taiwan that has the most certification number.

Other than medical service, our hospital encourages research and we have established 3 collaborated research rooms, 1 animal laboratory, and 24-hour e-library. We published around 150 journals and dissertation every year and there will be at least 120 articles for SCI dissertation.

Keyword ■ ■ ■ ■ ■

Strategy Planning and Budget Management Platform

Plan Reviewing

Instruments Evaluation

Plan Execution Tracking

Requisition Execution Tracking Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Far Eastern Memorial Hospital Department: Planning Division Contact person: Lo Yun-Yu Tel: (02)8966-7000 ext.2870 E-mail: goodamanda01@mail.femh.org.tw

aHOP Co., Ltd.

Quality , We together

aHOP collaboration platform identifying correct “device” Introduction of the award-winning work

Experience sharing and implementation performance

2019 Appalication Of Smart Medical Technology

aHOP collaboration is established based on the concept of single platform and sharing economy. Through the system architecture of “passive cloud solution”, it develops data establishment on the webpage at the supplier side and transmits it to all of the cooperating hospitals for necessary use. The platform has the following characteristics: 1. Establishing UDI collaboration platform for healthcare industry: Information tools are provided for suppliers to set up/ update data at once and it can be transmitted to all the cooperating hospitals.

2. UDI code will be used as the core after correct decoding: Material number provided by supplier is linked with each specification of internal code in the hospital to achieve one device one code for management.

3. UDI code scanned for clinical use: Information flow is used for articulation to monitor the expiration of license and health insurance as well as carry out subsequent valuation, cashier, and automatic notification for inventory supplement. a 4. UDI code information flow links up with medical records: Two-way traceability is conducted between patients in the hospital and medical device in the supplier side.

5. The system provides ADR warning to ensure the use safety of medical device.

6. Solutions for items with no UDI code or unreadable UDI code to make hospital management more comprehensive.

aHOP collaboration platform completes many-to-many data exchange among suppliers and hospitals through single interface. Up to August, 2019, UDI application has been introduced in 11 domestic hospitals and clinics.

In 2016: Mackay Memorial Hospital and Lotung Poh-Ai Hospital.

In 2017: Chang Gung Memorial Hospital, Changhua Christian Hospital, Kaohsiung Medical University Chung-Ho Memorial Hospital, and Wanfang Hospital.

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In 2018: Cathay General Hospital, Tzu Chi Hospital, and National Cheng Kung University Hospital.

In 2019: Tri-Service General Hospital and Kaohsiung Veterans General Hospital. aHOP system is interfacing with HIS/MIS in the hospital to execute the data exchange between mater files in the hospitals and item UDI code (barcode) from suppliers, between the comparison of internal hospital codes and supplier material numbers, and consumables. Both hospitals and suppliers will be able to carry out medical device inventory item consumption notification, real-time supplement, and precisely control inventory and management through the platform. aHOP collaboration platform identifying correct “device� ─ aHOP Co., Ltd. 71

Implementation benefits

aHOP provides its professionalism in automatic identification (barcode) and acts as the bridge between hospitals and suppliers. It coordinates the collaboration and cooperation between hospitals and suppliers and establishes item UDI code for medical device and hospital application mode. aHOP collaboration platform promotes the correctness and availability of information related to UDI and the hospitals and suppliers are data builders as well as the beneficiary when using the data.

After scanning UDI code to replace manual operation, the effectiveness that hospitals find is as below : 1. Electronic and paperless: It saves around 0.4 million times of working hours for verification as well as around 0.332 million pieces of paper in A4 size (Chang Gung system).

2. Valuation and cashier efficiency: 90% enhancement (Mackay Memorial Hospital).

3. Inventory-taking efficiency: 81% enhancement (Mackay Memorial Hospital).

4. Posting abnormality rate improvement: 100% progression rate (Mackay Memorial Hospital).

5. Satisfaction from the user unit: Above 96% (Mackay Memorial Hospital).

Humanity Integrity Professionalism Innovation

Product photo

aHOP Co., Ltd. (hereinafter referred to as aHOP) was established in 2016 to assist implementing automatic identification (barcode) application in domestic hospitals. The technology is self-developed in the company and 5 new-type patents and 4 invention patents have been obtained. We have implementation experiences in 10 medical centers and 1 regional hospital in our country. aHOP works hard to achieve the target of sharing economy by suppliers establishing data in aHOP collaboration platform once and transmitting the data to all the cooperating hospitals.

The core members in the team come from International Article Numbering Association GS1 Taiwan, and they have experiences in assisting Unique Device Identification (UDI) program and drug barcoding program in Food and Drug Administration, MOHW (TFDA). Other than assisting government to research and establish medical device UDI and drug automatic identification regulations, aHOP team also walks deep into domestic healthcare industry and has provided in-factory consultation for nearly a hundred suppliers as well as interviewed more than 15 medical centers. We understand the issues that suppliers and hospitals face as well as their management demands.

aHOP collaboration platform identifying correct “device� ─ aHOP Co., Ltd.

Hospital introduction

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aHOP collaboration platform identifying correct “device” ─ aHOP Co., Ltd. 73

Our company is the only service team in the country that is equipped with “barcode coding and decoding & hardware and software professionalism”, “data integration technology and innovative service capability”, and “familiarization with ecology in healthcare industry”. We will carry on providing automatic identification innovation application solution to the healthcare industr y and create accessible environment for healthcare automatic identification application. (Please visit aHOP official website for more details at : https://www.ahop.com.tw or contact us at 02-37652395).

Keyword ■ ■ ■ ■ ■ ■

Unique Device Identification(UDI)

Passive Data Exchanging Cloud System Traceability

Sharing Economy

Medical Device Management Data Accuracy

Cooperated partners for medical integration solution aHOP Co., Ltd. Contact details for medical integration solution Name of institution/ supplier: aHOP Co., Ltd. Department: Administration Department Contact person: Chen Mao-Hua Tel: (02)3765-2395 E-mail: rita.chen@ahop.com.tw Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: aHOP Co., Ltd. Department: Administration Department Contact person: Chen Hsin-Hui Tel: (02)3765-2395 E-mail: christy.chen@ahop.com.tw

Binflux Inc.

Quality , We together

Infans EMR (reproductive medicine center data management system) Introduction of the award-winning work

Experience sharing and implementation performance

Since its launch in 2018, Infans EMR has been adopted by the National Taiwan University Hospital, Taipei Medical University Hospital, Taipei Mackay Memorial Hospital, Changhua Christian Hospital, Chi Mei Hospital, Lee Women’s Hospital and Stork Fertility Center. reproductive medicine and information technology are improving every day. Binflux has the concept of continuous research and development and quality service. In addition to continuous cooperation with the indicator hospitals, Binflux also conducts research and development cooperation with Academia Sinica and Taiwan University, striving for the perfect combination of medical and technology.

2019 Appalication Of Smart Medical Technology

Although the problem of Taiwan's declining birthrate is becoming more and more serious, the number of artificial reproductive treatments has increased five times in 10 years. The rapid growth of data has also made the clinical management and data analysis more difficult. Fertility Center Data Management and Analytics Software (in short form, Infans EMR) developed

by Binflux integrates various procedures and data during clinical, laboratory, and administrative operational processes in the reproductive medicine center.

It provides more than 50 system functions, allowing the fertility center to successfully digitize Transformation.

Infans EMR integrates technologies such as the Internet of Things and artificial intelligence, with fully featured application, easy to use, process automation and streamlining, and automatic generation of key KPIs for easy control. It allows busy physicians, counselors, and embryologists managing and analyzing the complicated medical treatment big data rapidly, precisely and efficiently to optimize the process of ovulation stimulation, egg embryo cryopreservation, artificial reproductive treatment declaration, as well as further strengthen healthcare quality to improve the decision-making success rate and reduce risk.

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Implementation benefits

Infans EMR (reproductive medicine center data management system) ─ Binflux Inc. 75

Image 1. Infans EMR clinical import benefit measurement : (1) Statistical report (one-click output): Reduce the time of human statistics reports by 90%.

(2) Laboratory evaluation: Only one person can be responsible for the evaluation of the transaction, shortening the working time by 99%.

(3) Health Promotion Administration declaration (one-click output): shorten the application time of 80~88%.

(4) Outpatient retrieves historical medical records: from an average of 2 hours to 5 minutes (per person).

(5) The paper usage of record data: automatic integration and generation capabilities to assist the embryologist's paper usage 5 to 7 times.

Humanity Integrity Professionalism Innovation

Product photo

Hospital introduction

Binflux was established in January, 2017 and it focuses on providing digital solutions for fertility centers. The flagship product, Infans EMR, has been recognized by many Taiwan's indicator fertility centers and national innovation awards. The hospital treatments using Infans EMR cover one-third of the annual artificial reproductive treatments in Taiwan. In the era of declining birthrate and digital age, Binflux works hard to provide fertility centers the next generation digital solution and works with more fertility centers to increase success rates and reduce risks, so that more couples with infertility problem will fulfill their dream of being parents!

Infans EMR (reproductive medicine center data management system) ─ Binflux Inc.

Image 2. Infans EMR full-role, full-field, and full-treatment integrated design thinking: It can help the fertility center to overcome (1) Fast data growth, more devices, data management and analysis difficulty .

(2) Complex process, more units, less communication.

(3) Increased treatment of frozen eggs and frozen embryos.

(4) Reporting and monthly report statistics (KPI) output work is complicated.

(5) The publication of the paper requires high-quality data and other challenges.

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For further information, please go to the official website of Binflux Biotechnology Company: https://www.binflux.com

Infans EMR (reproductive medicine center data management system) ─ Binflux Inc. 77

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Keyword IVF EMR

fully featured application

Process automation and streamlining Easy to use

Artificial Intelligence and Internet of Things‎

Cooperated partners for medical integration solution Due to the number of equipment in the reproductive medicine center is huge plus different software to match with the hardware, it often generates the inconvenience of using several software systems at the same time. Binflux carries cross-industry cooperation with the following three suppliers for reproductive medicine: 1. LabIVF (conventional incubation system) 2. Vitrolife (time-lapse incubators) 3. BRADY (freezer label laser printer) Signal vertical cooperation is carried out through IoT technology in order to achieve real-time and convenient transmission supervision.

We anticipate to provide a system with better functions, better customer demand satisfaction, better competiveness through the cooperation with the companies in the same trade in the ecology circle of reproductive medicine.

Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Binflux Biotechnology Company Contact person: Liu Chia-Hung Tel: (02)2585-8586 E-mail: markliu@binflux.com

Quality , We together

Huede Healthtech Co., Ltd.

Smart emergency medical care system (iEMS)

Introduction of the award-winning work

2019 Appalication Of Smart Medical Technology

Given that the golden window from the arrival of ambulance to the diagnosis and treatment after arriving at the hospital for patients with severe cardiovascular blockage is precious and every second counts, the system aims to assist first-aid team to transmit the patient’s 12-led ECG and relevant physiological data to the emergency room in the evacuation hospital before arriving at the hospital. The emergency medicine specialist will be able to judge the status of the patient, and the cardiac team will be activated before the arrival if the diagnosis is confirmed. It can effectively reduce the death rate of patients with myocardial infarction and further enhance the prognosis quality.

It integrates first-aid systems at disaster command center in Fire Department, Taipei City Government, 12-lead ECG in the ambulance, and emergency room in the evacuation hospital.

1. App can transmit/receive patient’s basic information and the 12-lead ECG operated by manual external defibrillator.

2. It can transmit the specific physiological data to the emergency room in the evacuation hospital, and it can be operated and used through computer or mobile phone.

3. P hysiological signal data should be able to be transmitted to current electronic medical care record as the attachment and be consolidated for saving.

It is centered with Fire Department to integrate the real-time emergency bed occupancy and availability in many evacuation hospitals to enhance the time efficiency.

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Experience sharing and implementation performance

Smart emergency medical care system (iEMS) ─ Huede Healthtech Co., Ltd.

Implementation benefits

After the establishment of iEMS system, it not only advances the patient safety for patients with chest pain, reduces the action carried out by emergency personnel, releases pressure on emergency personnel but also achieves the best effectiveness of three wins in hopsitals, patients, and emergency units. The methods and effectiveness before and after the implementation of the system are evaluated as below: 1. Effectiveness in the ambulance : (1) Hospital emergency room real-time capacity table is used to decide the evacuation hospital to avoid time wasted on wireless communications.

(2) Fire Department coordinates according to the status of the emergency room in each hospital to reduce working load of emergency room and ambulance.

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Product photo

Smart emergency medical care system (iEMS) ─ Huede Healthtech Co., Ltd.

(3)Patients’ physiological data can be transmitted to the evacuation hospital timely.

(4)The golden window of 20 minutes can be retrieved to increase the cute rate on patients.

2. Effective in hospital emergency room : (1)Emergency room is able to review patients, bed occupancy, and status of patient activity timely.

(2)Clinical personnel can be re-allocated according to the emergency room status table to reduce personnel pressure.

(3)The overall working efficiency can be improved, patients’ waiting time is reduced, and hospital income is increased.

3. Effectiveness for Fire Department and government units : (1)Emergency patients’ real-time data and information statistics.

(2)Cloud data is able to look for patients’ location and activity status immediately.

(3)Ambulance can be more efficiently allocated through the hospital emergency room capacity table.

Image 1:Tablet APP

Image 2: Emergency room webpage 80

Quality , We together

Smart emergency medical care system (iEMS) ─ Huede Healthtech Co., Ltd.

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Image 3:Disaster command center website

 iEMS (smart emergency medical care system) 12-lead ECG Transmit 12

ePCR (electronic medical care record)

MCI (sass casualty incident)

AMI (acute myocardial infarction)

Cooperated partners for medical integration solution Huede Healthtech Co., Ltd. Contact details for managing webpage of smart medical products at the hospital in the future Name of institution/ supplier: Huede Healthtech Co., Ltd. Department: Administration Department Contact person: Jennifer Lee Tel: (02)8665-0036 ext.101 E-mail: jennifer@huede.com.tw

2019 Application of Smart Medical Technology Publisher Address

: Joint Commission of Taiwan(JCT) : 5F., No.31, Sec. 2, Sanmin Rd., Banqiao Dist., New Taipei City 220, Taiwan, R.O.C. Telephone : +886-2-89643000 Design : IDEA GO Studio Directed by : Ministry of Health and Welfare Publication date : Nov. 2019

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All Rights Reserved

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Humanity Integrity Professionalism

Innovation

Phone：+886-2-89643000 Fax：+886-2-29634022 Address：5F., No.31,Sec. 2, Sanmin Rd., Banqiao Dist., New Taipei City 220, Taiwan , R.O.C.

ISBN 978-986-98274-0-9

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