• Patients undergoing colorectal/general/thoracic/urologic/orthopedic surgery

• Cancer surgery patients

• Elderly or malnourished surgical patients

• Patients needing comprehensive acute/critical care

• Patients needing multimodal pain management

• Patient associations and support group members

TCVGH ERAS Team Led by the Department of Anesthesiology, the TCVGH Enhanced Recovery After Surgery (ERAS) Team has established a comprehensive perioperative care pathway, covering surgical outpatient consultation, preoperative optimization, precision anesthesia, and postoperative early feeding and mobilization. TCVGH is the only public medical center in Taiwan officially certified by the ERAS Society (October 18, 2021), under the mentorship of Tan Tock Seng Hospital (Singapore) and Professor Olle Ljungqvist of Örebro University (Sweden). The hospital has also received accreditation for pain management and joint replacement care quality.

Key innovations include:

• Taiwan’s first ERAS outpatient clinic model, featuring dedicated ERAS consultation rooms, ERAS coordinators, and an official LINE communication platform.

• Taiwan’s first immersive 360-degree VR patient education program.

• Taiwan’s first ERAS nutrition program with dedicated preoperative and postoperative meals to reduce prolonged fasting.

• A multimodal analgesia and pain management system with real-time pain monitoring and opioid-equivalent dose conversion. Since implementation, the program has achieved a 60% reduction in length of stay (compared with 33% in France and 29% in the Netherlands), reduced overall complications from 38.5% to 17.4%, reduced major complications from 7.7% to 1.2%, and improved ERAS compliance from 43.4% to 78.6%, demonstrating substantial improvements in surgical recovery and quality of care."

• Taiwan's only ERAS Society-certified public medical center

• Taiwan-first ERAS surgical clinic

• Taiwan-first VR immersive patient education

• Taiwan-first ERAS pre/post-op meals

• Taiwan-first pain-free management system

• Dual certifications (Pain Care + Joint Replacement Quality)

• 5,054 surgeries/month

• Departments: Colorectal/General/Thoracic/Urology/Orthopedics

• Year-over-year increase in ERAS cases

• EIAS system monitors 25 indicators

• LOS reduced 60% (vs France 33%, Netherlands 29%)

• Overall complications 38.5%→17.4%

• Severe complications 7.7%→1.2%

• Intl indicator achievement 43.4%→78.6%

• Colorectal LOS median 9→4 days

• Significant reduction in pneumonia/leakage/ileus

• EIAS de-identified data system

• 25 indicators real-time monitoring

• 13 hospital + 8 SSI Bundle indicators

• 4 workshops with ERAS Coach

• 14-day re-admission and 3-day re-ER monitoring

• 30-day phone follow-up

• Patient association recommendations

• 2020 Da Ai TV report

• 2020 colorectal medical press feature

• Patient appreciation letters

• ERAS Society outreach

• Increased patient satisfaction and confidence

• 2021/10/18 ERAS Society intl certification

• Mentored by Prof. Olle Ljungqvist (Sweden)

• Singapore Tan Tock Seng Hospital intl coaching

• Asia ERAS Intl Symposium presentation

• Intl Society of Surgical Oncology presentation

• Taiwan Anesthesia Society Annual Meeting & Intl Symposium

• Outreach to regional hospitals

• Engaged colorectal & urology patient associations

• Collaboration with Taiwan Colorectal Cancer Patient Association

• ERAS workflow consensus workshops (Northern Taiwan)

• Promotes ERAS Society growth

• Inspires other hospitals to replicate success