Home Care: MD links for disabled/3-tube cases. 2.LT Care: Long-term care facility placement. 3.Transfer: Referral to other hospitals. 4.Hospice: Home hospice care referral.
CMUH Home Nursing Center (est. July 2015) adheres to a "patient-centered, people-oriented" philosophy. We respect individual needs and empower patients to co-create their care plans, ensuring they enjoy a dignified, safe, and comfortable life upon returning home. Through cross-domain integration, we deliver comprehensive discharge preparation and foster community inclusion. Aiming for service excellence, we integrate smart healthcare with continuous assessments to adapt care plans and serve as a reassuring guardian for our patients.
Smart Discharge Preparation Screening and Assessment Workflow enables the medical team to track care progress in real time. Assessment results are automatically transferred to the discharge preparation nursing system. A specialized nurse will visit the ward within 72 hours to evaluate the case. A re-assessment is triggered every 7 days during hospitalization. In case of condition changes, physicians or ward nurses can proactively request a consultation.
Informed Discharge/Outpatient Digital Workflow provides patients and families with the "CMUH App" for smart mobile care, offering a highly accessible tool to active participate in their healthcare journey.
Holistic Cross-Domain Care: We integrate a multidisciplinary team—including physicians, nurses, pharmacists, dietitians, social workers, and hospice staff—to deliver comprehensive, patient-centered continuous care. 2.Smart Healthcare & Digital Transformation: We leverage speech-to-text nursing technology with the "Generative AI System for Long-Term Care Services" to save 85% of documentation time. Additionally, the "CMUH App" empowers patients and families to actively participate in smart home care.
Innovative Solutions & Quality Excellence: Our staff actively brainstroms eco-friendly clinical innovations like the "Bi-Amp" for nasogastric tubes. Recognized as the 1st place champion in the Taichung Golden Care Awards, our 14-day readmission rate and 3-day ER return rate consistently outperform national medical center averages.
Discharge Preparation Volume: From 2021 to 2023, the center managed over 10,000 discharge preparation cases annually, with new cases averaging around 7,000 per year. The team achieved a monthly average of 592 new cases and 5,600 visitations.
Long-Term Care 2.0 Integration: Seamless referrals to national long-term care resources successfully connected 674 patients in 2021, 616 in 2022, and 664 in 2023.
Home Nursing Care Metrics: The home nursing unit recorded a steady operational scale, averaging around 150 new cases per year, with a total management load of approximately 287 cases and nearly 3,500 home visitations annually.
Community Resource Referrals: Between 2020 and 2023, the center completed 16,271 referrals to diverse community resources based on individualized patient needs, including 4,394 home nursing and 1,891 home service links. 5.Professional Capacity Building: From 2020 to 2023, collaborative training programs empowered a cumulative total of 2,041 healthcare professionals, including physicians, nurses, and allied health staff, to optimize care transitions.
14-day Readmission: 3.45% — Enhanced caregiver training successfully stabilized patient conditions post-discharge.
3-day ER Return Rate: 1.60% — A 24-hour hotline significantly reduced unexpected emergency room visits.
AI Documentation Rate: 100% — Fully implemented the Generative AI system across all home nursing records.
85% Documentation Time Saved — Streamlined administrative tasks, allowing nurses to focus more on direct patient care.
Flu Vaccine Coverage: 100% — Strictly executed infection control by achieving full vaccination among all staff members.
LTC Training Completion: 83.8% — Successfully empowered local care attendants to sustain long-term care capacity.
Nasogastric Tube Removal: 31.6% — Multidisciplinary care successfully restored autonomous swallowing functions. 8.Urinary Catheter Removal: 38.3% — Precise tube weaning strategies effectively minimized the caregiving burden. 9.Unplanned Tube Reset: 1.50% — Kept well below the 2% threshold, reducing the risks associated with accidental slippage.
On-time LTC Referral: 100% — Completed assessments 3 days prior to discharge to ensure a seamless transition. 11.Overall Care Satisfaction: >94% — Annual survey results demonstrated exceptional praise from patients and families.
The center has established a rigorous risk management and notification system, achieving outstanding results in patient safety and workplace protection:
Skin Injury Rate kept <0.2% — Well below the 0.8% threshold due to proactive tracking and precise caregiver education.
Nurse Turnover Rate within 1.7% — Far superior to the 25% threshold, ensuring a stable team to maintain care quality.
0 Accidental Events in 2021-2022 — Implemented strict home visit safety policies to protect field staff effectively.
0 Needle-stick & Contact Infections — Maintained an excellent zero-occupational-injury record through monthly safety monitoring.
Only 1 Fall Event Recorded in 2023 — Immediate review meeting was held by the supervisor to optimize route assessment plans.
100% Employee Flu Vaccination — Fully executed vaccination policies across all staff to build an institution-wide immune barrier.
Unplanned NG Tube Reset at 2.0% — Strictly monitored tube fixation safety to minimize accidental slippage and patient re-intubation.
100% Bio-waste Disposal Contract — Signed a 5-year biomedical waste contract with the hospital to guarantee strict bio-safety.
100% Equipment Audit & Calibration — Conducted weekly medical material audits and monthly functional testing via smart tracking systems.
The center has established a comprehensive service evaluation mechanism, with annual satisfaction rates demonstrating excellent performance:
Overall Care Satisfaction: 94.7% — Survey results from 2021 to 2024 reflect exceptional appreciation from families. 2.Professional Knowledge Satis.: 95.4% — Home nurses consistently demonstrate expert core skills during home visitations.
Staff Companion Friendliness: 96.0% — Adhering to patient-centered values, providing warm and empathetic medical services.
Emergency Handling Satis.: 94.0% — Supported by a 24-hour hotline to solve unexpected home nursing crises in real time.
Care Plan Co-creation Satis.: 95.4% — Respecting individual autonomy and encouraging families to co-design the care plans.
Caregiver Skill Enhancement: 95.4% — Nurse-led demonstrations successfully enhanced families' practical home care abilities.
Visit Schedule Flexibility: 96.7% — Properly arranged visiting schedules aligned seamlessly with the patient's daily routine.
LTC Resource Referral Satis.: 93.4% — Effectively acted as a single window to introduce comprehensive community resources.
Innovative Bi-Amp Satis.: 4.5/5.0 — The clinical innovation for NG tubes brought higher comfort and psychological peace of mind.
The center actively participates in global academic sharing and cross-border medical cooperation, significantly elevating the international visibility of Taiwan's long-term care ecosystem:
ICN Congress Oral Presentation — The center's director was invited to deliver an oral presentation at the 2023 ICN Congress in Montreal, Canada.
Global Sharing on LTC Referrals — Presented a nurse-led collaborative model connecting hospital discharge planning directly to long-term care.
Taiwan-Malaysia Joint Webinar — Successfully orchestrated an online symposium under the New Southbound Policy to share expert hospice care insights. 4.New Southbound Clinical Exchange — Malaysian healthcare professionals paid an official visit to our hospice ward and home care units for field study.
Connecting with Global Experts — Exchanged advanced long-term care experiences with worldwide specialists to project Taiwan's healthcare soft power.
Through cross-domain integration, standard workflows, and smart healthcare, the center delivers profound positive impacts on medical sustainability:
Optimizing Healthcare Resources — Successfully lowered 14-day readmission and 3-day ER return rates, effectively reducing the financial burden on health insurance.
Setting 29 Clinical Care Standards — Established 12 workflows and 17 technical standards with annual revisions to standardize regional home care quality.
Enacting 5-Holistic Care Model — Practiced a holistic approach across individuals, families, teams, processes, and communities to ensure dignified home living.
Alleviating Caregiving Burdens — Provided practical at-home nursing guidance and a 24-hour hotline to serve as a reliable backup for vulnerable families.
Sustaining Healthcare Workforce — Implemented the Generative AI system to save 85% of documentation time, reducing nurse burnout and enabling green, paperless records.
