To assist healthcare organizations in realizing healthcare quality improvement is another mission of the JCT. By introducing various quality indicators, professional training programs, quality contests, the JCT provides hospitals with advanced, feasible and comprehensive quality improvement methods at home and abroad as a reference for quality improvement, hoping to promote healthcare quality concepts, to create a safe environment for patients, and thereby to become a partner of healthcare organization.
     

Taiwan Clinical Performance Indicator

The Taiwan Clinical Performance Indicators (TCPI) is an indicator system which is focused on the measurement of clinical care for identifying quality improvement opportunities. There are four indicator categories in TCPI including general care, acute psychiatric care, chronic psychiatric care and long-term care. The general care category includes indicators for emergency care, hospitalization care, intensive care, surgical care, sub-acute respiratory care and focused care (including acute myocardial infarction, stroke, in-hospital cardiac arrest).

TCPI built a web-based software with innovation, friendly, timing services and allows users to submit and analysis data easily. One of useful tools, for example, participants can use a two periods statistical process control (SPC) chart to evaluate the effect of intervention. Data is submitted by measure elements and system will processing errors detection and automatic calculation. Once the data submitted, the hospitals can get results immediately. TCPI system also provide various peers comparative data and dashboard so the hospital could check their performance and drill down to identify the problem and begin PDCA cycle timely.

To assist hospitals implement quality improvement and foster inter-facility benchmarking, TCPI team design and offer many trainings and educational materials and activities such as coordinators trainings, indicator application workshops and user group meetings, etc. 

Hospitals participate in TCPI voluntarily and all data kept absolutely confidential. Join the TCPI, you can learn and share not only data but also experiences from other peers to improve quality.

For more information about TCPI, please contact: 
TCPI staff, TCPI@jct.org.tw
You can also visit http://tcpi.jct.org.tw/tcpi/

Healthcare Quality Improvement Campaign

The aim of the Healthcare Quality Improvement Campaign (HQIC) is to encourage healthcare organizations and teams to engage in activities for continuous healthcare quality improvement through the self-inspiration and mutual stimulation of team members, team cooperation, use of statistical techniques and quality control tools based on the PDCA management cycle. With this mechanism, the JCT hopes to promote healthcare organizations and teams to share and learn from one another. Since HQIC was launched in 2000, it has become a platform for healthcare organizations and teams to share achievements in healthcare quality improvement. 

The number of medical and health institutions, and the number of teams participating in this activity has increased over the years. This Committee not only selects domestic institutions, units or teams with good quality improvements competitive means, but also continues to develop different subjects or types of competitive mode to facilitate different aspects of medical quality. For example, an inter-learning platform for interaction between the institutions was established through the “Cross Straight Competition” that started in 2012, as well as the contest for excellent cases of smart hospitals and the competition for scenario simulation that was created in 2013 in hopes to set up an inter-institutional exchange and learning platform to promote the elevation of quality in national healthcare, as well as to present Taiwan’s achievements in medical quality to the international community. 

Shared Decision Making

Based on the experiences in promoting of patient safety and evidence based medicine, a nationwide shared decision making (SDM) project has been launched since 2016 supervised by the Ministry of Health and Welfare (MOHW), adopting multiple approaches coordinated systematically, including developing the patient decision aids (PDAs), executing the Medical Decision Aids Campaign, establishing a SDM platform (https://sdm.patientsafety.mohw.gov.tw/), and implementing SDM in clinical practice. 

In order to establish the structured communication between clinical providers and patients, the PDAs we developed and implemented including five steps, description of the options under specific medical condition, comparison the benefits and risks among the options, exploration the preferences and values of the patients, testing the understanding of patients, and making the optimal option. In addition, based on the criteria and checklist of the International Patient Decision Aid Standards (IPDAS) Collaboration, two-steps tests including qualitative and quantitative feedbacks from both clinical providers and patients were conducted in development process of PDAs for revision and verification of their comprehensibility and usability in pilot studies. 

To reinforce the participation of hospitals and healthcare professionals, we works with great vitality to assist hospitals in implementing SDM into their daily clinical practice with posters, video broadcasting, online resources, and educational activities. In addition, to empower patients and their family’s participation and engagement of SDM, posters with videos are provided for publics. Through SDM strategies, we continually create better communication between clinical care providers and patients.