Friday 20 September 2019 1315 - 1430 Our organisational showcases are an opportunity to gain a fresh perspective on exciting organisational developments and to share experiences of transforming healthcare. In this interactive session you will hear about the challenges and opportunities faced by renowned Taiwanese hospitals. The session will be structured as follows: Part A - (presentation of 30 minutes, followed by 5-10 minutes of Q&A) 1. Taipei Medical University Hospital (TMUH): The ABC in TMUH 2. Wanfang Hospital: Strategies to promote accurate diagnosis of osteoporosis to meet WHO standards in Taiwan 3. Shuang-Ho Hospital: Integrated Intelligent and Innovative care for chronic airway disease patients Part B - (presentation of 30 minutes, followed by 5-10 minutes of Q&A) National Taiwan University Hospital (NTUH): Transforming health care through innovation – REDCap System and Precision Medicine in NTUH 1.Taipei Medical University Hospital (TMUH): The ABC in TMUH Artificial intelligence (AI) in health care is now considered merely within touching distance. The Taipei Medical University Hospital (TMUH) have devoted to the AI in critical care and especially focusing on structured electronic medical records (EMR) data and disease prediction model development. The data-enriched ICU care is an excellent and comprehensive environment for new AI-centric approach with innovative tools. Recently, the TMUH had developed an ICU information system, called the Ted-ICU AI platform, for supporting 24-hour ICU care monitoring and early predicting ICU diseases, for example, sepsis and delirium. In the foreseeable future, AI will inevitably be more crucial in ICU care. With Taiwan’s advantage in medicine, computing technology, and data science, AI in medicine is a goal worthy of our efforts. Besides, the TMUH is also the first to adopt the blockchain technologies to empower patients to own and control their EMR and electronic health records (EHR) data in Taiwan. Adoption of blockchain technology can represent a reliable strategy to facilitate patient-centric interoperability between patients and different stakeholders. Accordingly, with blockchain technologies, many interesting health care use cases are launched in TMUH. Using a blockchain-enabled approach to design novel medical services with patient-centered principles is our first, exciting experience in health care. Po-Li Wei, Vice Superintendent, Taipei Medical University Hospital; Taiwan 2.Wanfang Hospital: Strategies to promote accurate diagnosis of osteoporosis to meet WHO standards in Taiwan In this session, Wing Chan will discuss:

• How they improve diagnosing osteoporosis accurately to meet the WHO standard.
• How they develop standards of practice using dual-energy X-ray absorptiometry to achieve best practices.
• How they educate healthcare professionals nationwide.

Wing P. Chan, Professor of Radiology, School of Medicine; Chief of Radiology, Wan Fang Hospital, Taipei Medical University; Taiwan 3.Shuang-Ho Hospital: Integrated Intelligent and Innovative care for chronic airway disease patients  This showcase is to share our experience on a multi-team coordinated approach to our chronic airway disease patients. In this session, Tseng Chien-Hua will discuss :

• How to smooth our patient flow in the outpatient department.
• The multi-team approach for advanced COPD patients with the electronic structural medical record.
• How to design an individualized rehabilitation program and provide action plan.
• Early detection and early prevention with wearable device for airway disease patients.

Chien-Hua Tseng, Chief of Division of Critical Care Medicine, Visiting Staff of Division of Pulmonary Medicine, Taipei Medical University Shuang-Ho Hospital; Taiwan 4.National Taiwan University Hospital (NTUH): Transforming health care through innovation - REDCap System and Precision Medicine in NTUH Part 1: Application of REDCap system: focus on quality management REDCap is a mature platform developed by Vanderbilt University Medical Center and is free for non-profit use. Within the National Taiwan University Hospital, the system is widely adopted in clinical research, administration and quality control. Our application and experience are the most extensive in Taiwan. We will demonstrate some useful cases for quality management, including standalone utilization and connection with hospital information system. Attendees will learn about the strength and flexibility of this system and could apply to their own hospitals to facilitate clinical care and quality management. Lu-Cheng Kuo, Department Internal Medicine and Information Technology Office, NTUH; Taiwan Part 2: Precision medicine in NTUH - Rapid diagnosis for genetic conditions by next-generation sequencing The cornerstone of quality and safety in healthcare is correct and precise diagnosis. NTUH is one of the biggest medical centers in Taiwan, and the load of genetic conditions in this hospital is significant. The diagnosis of genetic conditions in patients with critical illness or complex phenotype is especially difficult but important, because only a correct and precise diagnosis can guarantee the quality and safety of treatment. We recently set up our next-generation sequencing (NGS) diagnosis program, including gene panel sequencing, whole exome sequencing (WES), and rapid trio WES. We put together experts from genetics, medical information, and computer science. We created our own NGS diagnostic platform: the MViewer program. MViewer does comprehensive annotation of variants coming out of NGS, offers sophisticated filters to allow geneticists to locate pathological variants, and contains an artificial intelligence-assisted searching engine to connect symptoms to genes. With all these efforts, we have made precise genetic diagnosis for hundreds of patients in recent years. Our most advance tool, the rapid trio WES analysis, gave diagnosis in one week for infants and children with critical illness. The application of NGS in medicine is rapidly expanding. The cost of NGS and the complexity of human genome are the key challenges to us, but certainly we will keep moving on to guarantee the best benefit to patients. Wuh-Liang Hwu, Department of Pediatrics and Medical Genetics, NTUH; Taiwan