• Terminal cancer & non-cancer terminal patients

• Home/institutional hospice cases

• Rare disease terminal patients (e.g., Niemann-Pick)

• Families and bereaved

• Institutional caregiver training targets

National Cheng Kung University Hospital Nursing Department's Hospice Home Care team, founded in 1996, comprises 21 hospice specialist physicians, 16 hospice home care nurses, 1 spiritual care chaplain, 1 music therapist, 1 hospice social worker, and many volunteers. The team builds a comprehensive five-all (whole person/family/journey/team/community) holistic home-based palliative care model. 24/7 service 365 days/year (including night emergency visits and phone consultation); single-window coordination of consultations and case transitions; integration with community physicians and independent home care institutions creates a seamless "home-ER-hospice ward" chain. Innovative care tools include oral hygiene night lights, simple bedside urinary catheters, portable bed-bath kits; smart health bracelets help monitor disease progression. The team developed Taiwan's first "hospice precision care" model adapting services to patient needs. From 2018 to 2021, home-death rate rose from 70% to 81% (#1 in Taiwan, #1 worldwide). Indicators surpass national benchmarks: 3-day urgent response, anticipatory and responsive care. Hospice home care volume is 25× the national average. Published in BMJ Supportive & Palliative Care (SCI Q1). Awards: 2021 Nightingale Award, 2020 Hospice Palliative Benchmark Hospital.

• Taiwan-first hospice precision care

• 24/7 service with night emergencies

• Seamless home-ER-hospice ward chain

• Innovative oral light/bed-bath/smart bracelet

• Only unit providing advanced training internships

• Multi-specialist home visits

• 16 hospice home care nurses

• 21 hospice specialist physicians

• 2020 service 25× national average

• 2020 home deaths: 432

• Institutional deaths 33→76 (2018-2021)

• Trained HK & independent home care

• Home-death rate 70%→81% (2018-2021)

• #1 in Taiwan and worldwide

• 14-day readmission better than benchmark

• 24-hr post-discharge visit reduces 72-hr readmission

• Anticipatory/responsive care exceeds national

• 38.1% 3-day urgent need resolution

• Standardized end-of-life life-sustaining order sheet

• Rapid ER awareness of patient condition

• Reduces excessive ER intervention

• Hospice specialist review

• Standardized SAS/PCPSS symptom assessment

• Institutional family meetings with families/nurses

• Donations from grateful families

• Patients fulfill home-death wishes

• "Thankful for NCKUH hospice home care" testimonials

• Recognized by domestic/intl visitors

• 483-day care saved NT$240K in medical costs

• Family reunion brings smiles to terminal patients

• 2021 Nightingale Award

• 2020 Hospice Palliative Benchmark Hospital

• BMJ Supportive & Palliative Care SCI Q1

• Invited intl lecturer

• Intl medical visits & training

• World-leading home-death rate

• Influenced policy on home use of controlled substances

• Only advanced training internship in Taiwan

• Cooperates with primary care & nursing institutions

• Knowledge transfer to HK hospice home care

• Promotes hospice care expansion

• NHI resource savings; medical philanthropy