Under the leadership of Superintendent Der-Yang Cho and the unrelenting effort of the elite teams of China Medical University Hospital, their clinical practice powered by smart healthcare impressed the panel, and they were honored as one of the top three smart hospitals in the world for being accredited with convincing performance in “digital health indicators” by HIMSS, the pinnacle of global smart healthcare and digital health strategy consultant that is renowned for its uncompromising standards in the evaluation of institutional digital health transformation, with Mayo Clinic, The University of Texas M. D. Anderson Cancer Center, Cleveland Clinic and Stanford Health Care Center being their most distinguished members.
For the four dimensions of the HIMSS digital health indicator accreditation, including “interoperability” as shown by “flowing data seamlessly across the health system in real time,” “person-enabled health” that “uses outcomes data to inform design, implementation and scalability of care innovations that are personalized to the unique individual,” “predictive analysis” which “proactively prioritizes population health outcomes, informed by robust analytics, with real-time tracking,” and “governance and workforce” to build governance to support sustainable workforce using health outcomes data. China Medical University Hospital was accredited with convincing performance, making it one of the global model smart hospitals.
This is just a few of the good news from reputable organizations. China Medical University Hospital was granted a total of 23 awards, including National Innovation Award, at the end of the previous year, and at the beginning of this year a total of 19 awards of the Symbol of National Quality, including one bronze medal and one silver medal from the National Biotechnology & Medical Care Quality Award, and a total of 11 awards from the National Health Quality Award, including two silver medals and four honorable mentions. Many of these involve improvement of the quality of care with smart healthcare, and the achievement with digital transformation caught the attention of global medical fellows.
HIMSS Commended China Medical University Hospital’s Three Smart Platforms: “i.A.M.S.,” “Central Taiwan Heart Resuscitation Network” and “Integrated Smart ARDS Rescue.”
With Electronic Medical Record Adoption Model (EMRAM) Grade 7 achieved in 2019 and HIMSS “digital health indicator” accreditation with convincing performance this year – both taking place under his leadership – Superintendent Der-Yang Cho stated that the convincing performance comes from the clinical practice improvement with three smart healthcare platforms, including “i.A.M.S,” the comprehensive intellectual antibacterial system; the “Central Taiwan Heart Resuscitation Network,” powered by AI-assisted remote myocardial infarction diagnostic system; and the “Integrated Smart ARDS Lifesaver,” which provides respiratory data visualization.
Taking i.A.M.S as an example, as stated by Superintendent Der-Yang Cho, it provides septic patient-centered healthcare with risk (e.g. resistance and/or sepsis) prediction powered by secure, systemic information flow to improve clinical outcome. With more than 140,000 applications to date, this combination of information technology, artificial intelligence and medical examination instruments provides rapid determination of the causative bacterial strain. According to Superintendent Der-Yang Cho, the clinical data shows 90% accuracy in the management of super pathogens and early detection within an hour, compared to 72 hours with conventional means, which helps timely delivery of correct agents to save patients from mortality. In the data analysis presented by Superintendent Der-Yang Cho, i.A.M.S intervention improves the survival rate of S. aureus infections by 11.7% and K. pneumoniae infections by 23.7%, and reduces the near miss rate of antibiotic prescription from 12.1% to 0%, and the visiting experts were impressed by its effectiveness in helping determine the pathogen and correct dosing with precision prescription to reduce mortality and expense.
Regarding the “Central Taiwan Heart Resuscitation Network,” Superintendent Der-Yang Cho stated that through the collaborated effort with 29 administrative regions of Taichung City and Nantou County Government, the “AI-assisted remote myocardial infarction diagnostic system” of the joint initiative on saving myocardial infarction patients was introduced into the ambulance cars affiliated to join the initiative focused on myocardial infarction patients in Central Taiwan. The visiting medical experts were impressed how it allows emergency medical technicians to immediately obtain and transfer electrocardiograms to the cloud, where the AI can determine myocardial infarction in 37 seconds, a much shorter window that greatly reduces the time to diagnosis and has saved countless myocardial infarction patients.
China Medical University Hospital’s “Integrated Smart ARDS Lifesaver” team worked with the Information Technology Office in the establishment of a smart healthcare-powered “ARDS Dashboard” that collects and summarizes the medical information of ARDS patients kept separately in the system and visualizes real-time data through the monitor; for example, patient status profile to show the ratio of patients developing ARDS and requiring ventilator, vasopressor or continuous dialysis. Presentation in the order of ascending PF ratio provides faster patient screening and target patient detection, early awareness of disease progression and implementation of protective ventilation strategy to improve recovery rates. With the introduction of patient status visualization, the mortality rate of patients admitted to intensive care units was reduced by 16.7% in a year.
China Medical University Hospital also incorporated digital service at the patient end, including smart wards and the “China Medical University Hospital” app, that were also commended by HIMSS experts. The smart wards realize efficient management with a single monitor featuring integrated medical resources and improved healthcare accessibility that benefits all patients. The “China Medical University Hospital” app allows ambulatory patients to complete appointment registration, prescription refilling, dialysis reservation, admission, information sharing and medical resource integration on the go. For patients with dialysis needs, this app allows remote monitoring by a specialist and dialysis technician, and even dialysis at home to save travel time of up to 90 days per year. The time-saver for patients and improved staff efficiency are both factors of convincing performance.
China Medical University Hospital Acquired Smart Hospital Accreditation with Innovative, Digitalized “Patient-centered” Care
Superintendent Der-Yang Cho stressed that the data-based care model in China Medical University Hospital is aimed at digital transformation and innovative, individualized digital healthcare that provide one-stop service for ambulatory, emergency and inpatient care, and the goal of streamlining the workflow of healthcare professional with digital platform. With the introduction of the 5G network, physical monitor data collected with wearable devices can be uploaded to the cloud at any time, making remote healthcare more accessible than ever. As stated by Superintendent Cho, the use of video call programs and digital technology allows the clinicians and healthcare team of China Medical University Hospital to provide remote healthcare to the residents of Dili Village, Xinyi Township, a remote area of Nantou County, and build connection with the patients. Patient management with digital tools provides innovative and optimized medical care environment.
HIMSS, a non-profit organization founded in 1961, with established headquarters in Chicago, Illinois, United States, is committed to improving the quality, safety and cost-effectiveness of medical service with optimal application of the information technology management system. HIMSS members include nearly 120,000 individuals, more than 550 healthcare institutions, more than 500 non-profit partners and more than 430 suppliers. Over more than 60 years, their operation has been focused on North America, Europe, the United Kingdom, Middle East and Asia-Pacific.
Figure 1: Superintendent Der-Yang Cho stated that the convincing performance comes from the clinical practice improvement with three smart healthcare platforms, including “i.A.M.S,” the comprehensive intellectual antibacterial system, “Central Taiwan Heart Resuscitation Network” powered by AI-assisted remote myocardial infarction diagnostic system, and “Integrated Smart ARDS Lifesaver” which provides respiratory data visualization.
Figure 2: Under the leadership of Superintendent Der-Yang Cho and the unrelenting effort of the elite teams of China Medical University Hospital, their achievements in the clinical practice powered by smart healthcare impressed the panel, and were honored as one of the top three smart hospitals of the world for being accredited with convincing performance in “digital health indicators” by HIMSS, the pinnacle of global smart healthcare and the digital health strategy consultant renowned for its uncompromising standards in the evaluation of institutional digital health transformation.
Figure 3: Vice Superintendent Kuang-Sheng Lee giving a presentation to HIMSS experts on the healthcare quality improvement with the smart healthcare platform – the outstanding result from digital transformation caught the interest of visiting experts, and they’re impressed by the digitalized service on the patient end, including smart wards and the “China Medical University Hospital” app for the healthcare system.
Figure 4: China Medical University Hospital received HIMSS smart hospital accreditation with convincing performance, and was acknowledged for numerous domestic novel quality indicators. China Medical University Hospital was granted a total of 23 awards, including a National Innovation Award, at the end of the previous year, and at the beginning of this year a total of 18 awards of the Symbol of National Quality, including one bronze medal and one silver medal of the National Biotechnology & Medical Care Quality Award, and a total of 11 National Health Quality Awards, including two silver medals and four honorable mentions.