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#122_陳昭文_「公私協力」是理想也是挑戰--跨部門協作辛酸史大公開
该文档讨论了创伤护理的重要性和挑战，强调了团队合作和信息共享在急救医疗中的关键角色。它提到了不同领域间的合作与数据系统的建立，以提升医疗服务的效率。最后，文中呼吁协调各方行动，创建一个学习型健康系统，以更好地应对创伤患者的需求。
#122_陳昭文_「公私協力」是理想也是挑戰--跨部門協作辛酸史大公開
- 2. Thanks for yourkind invitation Disclosure of conflict of interest I have nothing to declare for this talk.
- 3. Here comes mycore concern… 我的問題是甚麼? 我要解決甚麼事? 我是誰?
- 4. Trauma, a neglecteddisease
- 5. 拖板車 嚴重外傷 外傷小組 緊急救援 外傷科 整形 骨科泌尿科 重症照護 復健 感染控制 Trauma, a neglected disease
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- 15. Here comes mycore concern… 我的問題是甚麼? 我要解決甚麼事? 我是誰?
- 16. Right patient toRight place at Right time Right Information for Right Stakeholders
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- 18. Interface A, Traditional viewof single patient-clinician interface. B, Multidimensional perspective emphasizing teamwork. 一對一關係 多對一關係
- 19. Multiple Stakeholders inour ecosystem
- 20. GS EM OrthoAnesthesia Director Chief CR R Clerk SOS! Help! Under control! Well Done!
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- 23. We need acall for collective action Co-creation of a Roadmap (blueprint) Toward a Learning Health System Feedback is crucial
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- 28. Behind the Scene Inthe Transboundary world Out Closed Territorially fixed Hierarchical In Network Open-source systems Shared-economy concept
- 29. My Experience onfostering S2C Some Case Studies…
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- 33. Kaoping Area -Medical Emergency Response – Alliance KAMERA系統
- 34. Data Capture Data Analysis DataCuration Web Service Automation
- 35. • 資料來源: 急診資料29項定義欄位 •透過各家合作醫院資訊室的協助，將29個欄位資料每半小 時提取出來並存成文件檔，透過應用程式會將資訊上傳到 KAMERA系統進行分析與計算。 • 透過網頁展示訊息燈號，可以諮詢該醫院目前的急診擁塞 程度以及特殊病例之處置能力 KAMERA運作
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- 42. Digitally connected Ecosystem 2011.62012.6 2013.6
- 43. Digitally connected Ecosystem 2011.62012.6 2013.6 2014.6
- 44. Digitally connected Ecosystem 37Hospitals connected
- 45. Data Capture Data Analysis DataCuration Web Service Automation
- 46. EDWIN vs OR EDWINvs WS WS vs OR NEDOCS vs OR r=0.886 r=0.898 r=0.997 r=0.239
- 47. Objective crowding -EMOC diversion
- 48. Subjective crowding -EP perception
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- 50. Ad Hoc Reportfor regional Governance
- 51. Ad Hoc Reportfor regional Governance
- 52. Regional Surveillance ofpatient flow
- 53. ED Surge vs.Specific Outcome
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- 57. 4-month preparation The 1stMedical Hackathon in Taiwan
- 58. Brainstorming is awesome! •Mass casuality • SQ
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- 60. 2009 2011 20142015 2016 Next ? Code for Healthcare Hackathon Data flow diagram
- 61. Explore the relationshipsamong various stakeholders 探索緊急醫療生態圈的資料元件共振可能性
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- 64. Co-creating Data flow Diagram(+Wishlist) • Person • Data • Relationship • Ontology
- 65. 2009 2011 20142015 2016 Next ? Data flow diagram KAMERA data challenge Code for Healthcare Hackathon
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- 71. Right Time! RightPlace! Right Patient! Right Buy-in Strategy!!
- 76. Get everyone onBoard • Simple concept (3R) • Multiple Stakeholders
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- 81. Redirect the Flowof Information
- 82. Right Information forRight Task 消防救護作業 醫療醫政作業 公眾揭露 引導群眾彙智 標準介面輸出(目前POC) 客製化界面(未來式) 救急救難一站通 Portal 緊急資訊 既存基礎優化與模組化 緊急資訊標準化與交換協定 前瞻導入不同系統觀點(NHI,TEMSIS, NHI, TQIP)
- 86. ID + EventTag = KEY
- 87. ID + EventTag= KEY KEY 能串接醫院病歷資料 追蹤結果自動推播回消防端
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- 89. A Real question? Aworkable Solution? A practical Strategy?
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- 96. New Information New audience Newsolution
- 97. 2020 2019 2018 2014~ 區域倡議 中央牽成 國發會串聯內政部、衛福部、國災中心、區域倡議單位 公私協力進程 2018.6 Winner of PH 2018.12 Stakeholder Workshop 2019 Sustainsible Funding 2020 Ready for Lunching
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- 100. Democratization supported andsimplified by providing tools
- 102. Break the silos,Build the team
- 103. Performance Knowledge Data Right time, rightpalce, right patient
- 104. 當責照護系統的基石 提供連續性的照護 (人) 規範與誘因的動機對齊 (資源) 資料與資訊的基礎建設 (路)
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- 106. Martin et al.JAMIA 2017
- 107. 公眾 P SafeNet: 跨領域公私協力 強化社會安全 提升社區健康 專業 D 教育 E 倡議 A 科學入世、自我學習S2C 資料定義、標準、互通、可信、與可用性 Reflection and Vision 01 Catalyst 資料授權與活化使用 02 Accountability 伴隨資訊透明後的洞見產生 與當責文化 03 Democracy 緊急醫療資料生態的 民主化轉變 04 Partnership 目標導向的公私協力 夥伴關係建立
- 108. 專政 民主 布爾喬亞 無政府 Control 控制力 Accessibility可近性 DATA DATA DATA DATA Autocracy Democracy Anarchy Aristocracy
- 109. Constructing a DemocraticCulture 2018.6 2014.8
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- 112. Seeing is Believing Believingis Seeing Seeing is Believing Believing is Seeing
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