Inpatients, ER, OPD across all departments
NTUH system (7 hospitals: Main/Cancer/BeiHu/Jinshan/Hsinchu/Yunlin)
491 hospitals in Star-Moon Project
4,000+ staff health monitoring
Taipei region notifiable disease support hospitals
Domestic/intl infection control professionals
NTUH Infection Control Center, led by Deputy Director Sung-Ching Pan, integrated with IT, Quality Management, and Lab Medicine, developed the "Smart Infection Control Leadership System" as Taiwan's regional notifiable disease network hub. The system spans three domains: (1) policy—healthcare-associated infection (HAI) monitoring TNIS, key microorganism monitoring, AUR/TB/HIV auto-integration; (2) outbreak control—statutory disease reporting, virtual epidemic clinic, health monitoring, disease surveillance with early warning; (3) quality management—HAI monitoring, drug-resistant strains, surgical quality, antibiotic stewardship. The key microorganism auto-monitoring uses HL7-standardized database to daily screen 68 epidemiologically important microorganisms (35 multi-drug resistant). HAI monitoring sensitivity 98.16%, specificity 99.96%, PPV 95.81%, NPV 99.98%, with case enrollment time reduced from 90 to 13 days. Hand hygiene initiative reduced hospital-wide HAI by 9% (MRSA 17%); average cost of preventing one HAI infection: USD 8,023,840. 2018-2020: reduced infection rate by 35.6%, saved estimated NT$3B, trained 4 masters/PhDs, published 25 papers. Won 2018 National Biotech Medical Quality Award and 2019 National Medical Quality Bronze.
In-house 3-domain HL7 smart system
HAI auto-monitoring (68 microbes, 35 MDR)
Staff virtual epidemic clinic 24/7
Web-based dashboard with SPC alerts
Antibiotic stewardship dashboard
Continuous online auto-enrollment
NTUH 7-hospital system + 491 hospitals
17,925 inpatients analyzed (Oct-Nov 2015)
78,261 bacterial cultures
68 microbes monitored (35 MDR)
HAI surveillance sensitivity 98.16%
Per-HAI prevention cost USD 8,023,840
HAI down 9%, MRSA down 17%
Surveillance sensitivity 98.16%, specificity 99.96%
Case enrollment time: 90→13 days
Saved NT$3B (2018-2020)
Hand hygiene saved USD 7,779,370 extra costs
ICU XDRAB continuously declining
Hospital-wide hand hygiene audit
Auto-enrolled HAI with verification
Automatic statutory disease reporting
Staff health monitoring system
Real-time MDR strain alerts
Continuous antibiotic use monitoring
New IC nurses onboard in 1-2 hours
Senior IC nurses give high satisfaction
5 features rated 4.5-4.6/5
Clinicians praise reporting efficiency
System adopted by other hospitals
High staff acceptance of virtual epidemic clinic
25 intl papers (incl. master/PhD theses)
PLoS ONE, J Hosp Infect, JMIR Med Inform, J Med Internet Res, etc.
2019 BMJ Asia-Pacific Conference
System uses SPC control charts
Cooperation with US CDC and intl agencies
Best in scope, items, and continuity
2018 National Biotech Medical Quality Award
2019 National Medical Quality Bronze
2013 JCT Smart Hospital Excellent Information Case
2018 Taiwan Medical Quality Assoc. Award
Adopted by 491 hospitals
Raises national HAI monitoring standards
