Post-operative permanent/temporary colostomy patients
Rectal cancer surgery patients
Colostomy patients with suicide/depression risk
Members of Colorectal Cancer Patient Association
Kaohsiung CGMH ostomy nursing team, led by Director Hsing-Fang Ko, delivers patient-centered ostomy care. 2020 ostomy patients: 409 (second only to Linkou CGMH), including 269 rectal cancer surgeries (65.7%) and 91 colostomies (33.8%), with 20 permanent (22%) and 71 temporary (78%). Approximately 10% of Taiwan's colorectal cancer patients are treated here. The team's training course, designed around Kyushu University's five core competencies for wound-ostomy-continence nurses, achieves 100% attendance. Established case management workflow with stoma positioning SOP; nurses initiate evidence-based care within 8 hours; SACS™ Tool for peristomal skin assessment; PONS Score for rapid nutrition screening. Innovations: (1) world-first "implantable artificial colostomy device" co-developed with NKNU and the Metal Industries Research and Development Center (2020 National Innovation Award); (2) Taiwan-first "smart post-op ostomy tracking system" with new utility patent and NT$436,632 CGMH research grant—free on Google Play. Outcomes: peristomal dermatitis 8.3% (Taiwan 21%, UK 32.3%, USA 36.3%); post-closure infection 1.85% (Asia 2-4%); QoL total 105.5 (Asia 56.54, Canada 53, Latin America 58.7); self-care total 24 (USA 11). Won 2020 NHQA Theme Improvement Elite Bronze and 2020 National Innovation Awards.
World-first implantable artificial stoma device
Taiwan-first smart post-op stoma tracking system
Case management navigation
SACS™ Tool for peristomal skin
Customized intra-op base trimming
Innovative shoulder pad for pressure injury prevention
2020 ostomy patients 409 (#2 nationally)
269 rectal cancer surgeries (65.7%); 91 colostomies
10% of national colorectal cancer cases
413 uses of smart tracking system (since 2021/6)
100% training attendance
6 patient association events 2018-2020, 179 attendees
Peristomal dermatitis 8.3% (TW 21%, UK 32.3%, US 36.3%)
Post-closure infection 1.85% (Asia 2-4%)
Quality of life total 105.5 (Asia 56.54)
Self-care total 24 (USA 11)
Smart tracking: 83% normal classification
0.9 Cohen's Kappa with human reading
EBP initiation within 8 hours
Proactive DT/CHQ mood assessment
0% pressure injury 2018-2020
100% colonoscope path safety monitoring
Standardized cross-team care workflow
Home medical care integration
Patient association outing satisfaction 99.6%
Decreasing suicide/depression risk year-over-year
Increasing psychologist intervention satisfaction
Appreciation from new immigrant cases
Live-streamed education: 690 views, 77 comments
Patients accept stoma, improve QoL
2020 National Innovation Award (implantable stoma device)
2020 NHQA Theme Improvement Elite Bronze
2021 utility patent for smart tracking system
Cooperation with South African team & Japan W-OC Nursing Society
9 academic seminars (2014-2021), 528 attendees
Intl presentations at ICN, ASTOM, APETNA
Promotes ostomy care knowledge
Smart system free on Google Play
Rolled out to all CGMH branches
Colorectal cancer patient association
6 journal papers, 17 posters (8 intl, 9 domestic)
World-first device boosts domestic R&D
