Far Eastern Memorial Hospital Smart Care Makes Medical Care More Warm

        The COVID-19 epidemic prevention battle has come to an end, and Far Eastern Memorial Hospital has made significant contributions, with digital technology becoming a major support for the hospital. At the most critical moment, the original "Severe War Room" uses electronic stethoscopes, digital facial mirrors, and other networked devices to monitor patients' physiological values, instantly transmit data and images to large screens, provide medical personnel with inspection and disposal, and also allow families to see their loved ones for the "last time". In the face of the new post epidemic order, how can the hospital make good use of practical experience, collaborate with industry, academia, and smart technology to protect the health of the people?

        Surviving the epidemic and establishing an intelligent layout

                The COVID-19 pandemic has been raging for three years, and various challenges have come one after another. Far Eastern Memorial Hospital has broken through the virus blockade with digital technology, accumulating brilliant achievements. Recalling that within 80 hours of assisting the New Taipei City Government in setting up a centralized quarantine center, Vice President Zhang Zhihong stated, "Each floor of the hotel combines tablet devices and LINE groups, connecting patients, physicians, nursing teams, and other parties to create a 'cloud based care model.' Not only that, the team also collaborated with National Yang Ming University to establish an AI model to predict whether patients need to be transferred for treatment, The accuracy is as high as 80-90%.

        In response to the surge in the number of Omicron infections, Far Eastern Memorial Hospital and Far EasTone Telecommunications have demonstrated agile response and innovative spirit. Together, they have transformed the B2B remote consultation platform developed in 2019 for rural areas into a B2C remote diagnosis and treatment platform suitable for local people's registration and consultation; In order to alleviate a large number of home care inquiry calls, both parties have teamed up with Microsoft to create the "Cloud AI Intelligent Nurse", reducing phone calls by 40%, saving nursing manpower, and many other achievements due to the pandemic, which are now important digital assets.

        However, the current talent shortage, coupled with the continuous fermentation of aging and fewer children, has made the medical industry even more labor-intensive. How to use smart technology to increase medical volume is the key to the sustainable operation of hospitals. Under the guidance of Dr. Chiu and Dean Kuanming, Far Eastern Memorial Hospital has launched a new chapter in smart healthcare through four major areas: "Data Value Added", "AI Assisted Healthcare", "Teaching Transformation", and "Action Transformation".

        Using data value-added resources at the cutting edge

        In the era of information explosion, data is ubiquitous, and the vast amount of medical data particularly hides disease codes. In order to conduct in-depth data exploration and improve clinical treatment, Far Eastern Memorial Hospital joined the "TriNetX Global Health Research Network Platform" in 2022, which is a collaboration between healthcare organizations, pharmaceutical companies, and contract research organizations (CROs). Through cross regional and cross institutional sharing of de identified electronic case data, it analyzes hospitals and countries with different diseases and high incidence rates, and communicates with other medical institutions, Strengthen the clinical trial design and planning of the hospital.

        On the other hand, Far Eastern Memorial Hospital has also established collaborations between industries and schools with multiple technology giants, taking chest X-rays as an example. The amount of imaging data is often hundreds of times larger than that of computed tomography or magnetic resonance imaging, but the number of physicians who interpret it is limited, which affects the report production time. Therefore, the Imaging Medicine Department and Quanta Computer Incorporated invested in the development of the "Intelligent Thoracic X-ray AI System" in 2017, It can support rapid screening of emergency diseases and automatic assisted reporting, reducing the diagnosis time from one week to the same day, significantly improving efficiency, and won the "Gold Award" recognition of the 2020 Medical Quality Award.

        AI assisted medical precision improves efficiency

        The application of smart technology to develop precision medicine has become a global consensus. Far Eastern Memorial Hospital joined hands with 33 hospitals in Taiwan as early as 2019 to participate in the Academia Sinica "TPMI (Taiwan Precision Medicine Initiative) precision medicine" project. Oriental Petrochemical (Taiwan) collected blood samples from 10000 patients, completed genotype identification experiments and data analysis by the Chinese Academy of Sciences, and included them in its biological database to identify disease risks unique to Taiwanese people. Moreover, the hospital and the project team have further developed a "medication warning system" and a "precise health management system". The former can automatically predict potential allergenic drugs based on medical records, and immediately alert physicians when prescribing relevant drugs; The latter can screen for specific genetic disease risks such as breast cancer, stroke, pancreatitis, hyperuricemia, etc., allowing patients to undergo early health checks and control their disease status.

        In addition to improving the accuracy of medication safety and health management, Far Eastern Memorial Hospital also encourages various departments to actively introduce AI technology. Vice President Zhang shared, "We conduct research with an application oriented approach and are committed to connecting with clinical treatment. Although AI cannot replace physicians, it can provide suggestions and assist them in making decisions

        At present, many AI assisted medical systems have been developed in clinical practice, such as using AI to analyze patients' voiceprints, inferring whether the vocal cords are abnormal, and early detection of laryngeal cancer; The use of AI recognition system can calculate the depth of the wound and the surgical range of bedsore patients, reduce human visual errors, and have applications such as hemodialysis anemia treatment and head and neck cancer radiotherapy. In addition, the hospital has teamed up with Yuan Ze University to develop the "Snoring Prediction Obstructive Sleep apnea Arrest" app. Patients do not need to wear a inhaler monitor in the hospital and can record themselves and be diagnosed by AI, with an accuracy rate of up to 90%. The application of a hundred flowers blooming reveals the arrival of the era of physicians and AI fighting side by side.

                Teaching Transformation Smart Classroom in Hand

        Although Far Eastern Memorial Hospital took on a huge amount of care tasks during the epidemic, there was still no slackening in the training of the New Forces. Vice Dean Zhang explained, "Our teaching department quickly created a precise and intelligent teaching environment with low contact and high interaction, allowing interns to learn remotely through multiple channels such as VR audio and video, 2D teaching animations, e-books, digital learning, and push broadcasting

        More than 20 departments have developed lesson plan themes into e-books and shared them in the school's cloud bookstore; For complex content such as heart rate simulation AR and computer tomography operation steps, simulation videos are uploaded to teaching platforms or apps of various subjects, especially the E portfolio app developed by the radiology department. It not only gathers all teaching resources, but also designs various level breaking games, combined with point mechanism, to stimulate students' learning motivation. If there are any difficult questions during the learning process, in addition to directly seeking advice from the teacher or senior sister, the "LINE Bot AI Assistant" developed by Far Eastern Memorial Hospital can also respond promptly. At the same time, the hospital also arranges monthly student interviews to care about the students' lives and learning conditions, and ensure the quality of teaching.

        Go Mobile medical treatment is handled on one machine

        Many patients spend a lot of time making appointments, registering, and waiting in line to see a doctor. Physicians actually ask for a consultation for less than 5 minutes, and then wait for another 30 minutes to queue up for payment and medication... In order to eliminate the pain points in the medical treatment process, Far Eastern Memorial Hospital is actively promoting the "Go Mobile" project, allowing patients to use the LINE Bot platform, Medical Point App Multiple methods such as the official account of Line @ Far Eastern Memorial Hospital can be used for appointment and registration. The waiting time can also be scanned for QR codes to input the main complaint symptoms on the LINE Bot platform, helping physicians quickly grasp the condition and improve consultation efficiency.

        Not only does it cater to the needs of patients, but the "Go Mobile" project also comprehensively "mobilizes" the information required for medical care such as physician consultations, examinations, and surgeries, reducing the burden of medical care. Vice President Zhang's explanation, Previously, patients' physiological data and medication status could only be obtained in front of the hospital bed or nursing station, but now they can be accessed at any time through the LINE Bot platform on their mobile phones. In the future, we plan to further develop a dedicated app, divided into employee and public versions, integrating data such as medication collection, test reports, and physiological monitoring. It also has electronic consent forms, action electronic signatures, and other functions, so that medical staff can access surgical consent forms, hospitalization consent forms, and more Digital files are pushed to users, and they can also be signed online, achieving paperless functionality

        In addition to the above four aspects, Far Eastern Memorial Hospital is also committed to expanding the scope of remote medical applications, aiming to extend to emergency medical care, post discharge care, health consultation, and international medical consultation. It continues to collaborate with affiliated enterprises, schools, technology giants, and other institutions of the group to carry out generative AI applications, providing the public with more intelligent and thoughtful comprehensive medical services.

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