Residents of the Institution
As this hospital is a public hospital within the county, in addition to implementing government health policies, it also bears the responsibility for the medical care and emergency rescue during major disasters for the county residents. We provide a comfortable medical environment and practical healthcare services to meet the physiological, psychological, and mental health needs of the residents. In response to the demands of an aging population, we have developed specialized medical services, ranging from acute, sub-acute, chronic care to long-term care. Over time, we have expanded our innovative services from non-existent to substantial demand, adopting a holistic perspective on case management to provide necessary services, thereby enhancing public trust in the hospital and offering localized medical services.
The Nursing Home of Miao-Li Hospital has established an integrated medical and nursing care model for older adults with diverse care needs. Supported by hospital resources, the facility provides long-term care, dementia care, palliative care, respite care, and rehabilitation services within a continuous care system. A key feature is the “Residents Stay, Professionals Move” model. Physicians, nurses, rehabilitation therapists, pharmacists, dietitians, and social workers provide services directly within the facility, reducing transportation burdens and improving access to healthcare. To ensure continuity of care, interdisciplinary teams begin assessment and care planning during hospitalization. Residents receive coordinated services immediately after admission, minimizing care interruptions and supporting smooth transitions from hospital to long-term care. Individualized care plans are developed according to each resident’s needs. Programs include cognitive stimulation, rehabilitation, health promotion, and palliative care to enhance quality of life and dignity. Through continuous quality improvement, patient safety monitoring, fall prevention, and a safe environment, the facility promotes healthy aging and provides a safe, comfortable, and resident-centered second home for older adults.
Institutional transfer and discharge preparation services for 28 people
Institutional wheezing management services for 27 people over 309 days
Establish standardized care practices
Pay comprehensive attention to various indicators, such as residents’ active participation in projects and protective measures.
Monitoring of key indicators:
The prevalence of stress-induced injury points is less than 0.02%
The infection rate within the institution is less than 3‰
Implementing the requirement of reporting 6 patient safety incidents per month
Survey on the Satisfaction of Long-Term Caregivers/Family Members
Systematic quantitative satisfaction data shows that all values are above 85%
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I. Benefits for Residents: Enhancing Self-Worth and Delaying Decline The program promotes “mutual support” and “self-reliance,” encouraging residents to engage in daily tasks such as folding clothes and housekeeping. Assigned roles strengthen confidence and a sense of achievement.
Individualized Service Plans (ISP), combined with activities like “angel caregivers” and gardening, enhance social interaction, helping delay disability and dementia.
Standardized care procedures (e.g., “one-read-five-check” and bathing protocols) improve safety and care quality. The facility achieved zero medication incidents and reduced urinary tract infections to 0% (2011).
Palliative care and “four stages of life” support help residents and families face end-of-life transitions with dignity.
II. Benefits for Families: Reduced Burden and Greater Security
A “residents stay, medical staff come” model provides on-site medical care, reducing travel time, transport costs, and caregiver stress.
A 14–21 day respite care service allows caregivers to rest and recover, easing physical and emotional burden. Family satisfaction remains above 85%, showing strong trust.
III. Integrated Care Benefits: Seamless Medical–Long-Term Care Transition
A green channel enables immediate transfer to National Miaoli Hospital for emergencies, improving response.
A 24-hour transfer system and discharge planning ensure smooth transitions between hospital, institution, and home care, supporting integrated care.
