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Organizational Reform

Municipal Hospital Reform – Improving Services to provide Better Assistance

The Taipei City Metropolitan Area contains approximately 4,489 hospital beds. Taipei City Hospital employs 3,878 medical professionals and services the residents of Taipei City and surrounding municipalities. Taipei City Hospital performs about 3,850,000 clinical procedures annually.

Taipei City Hospital – Organizational Chart

Administrative Departments
1.Central Planning
A. Combined Planning Group
I. The development of short, medium, and long-term growth plans
II. The active management of annual and individual plans
III. The tracking and analysis of plan progress
IV. The development of standard operating procedures (SOP) for the entire Hospital System
V. The creation of employee handbooks, administrative white-papers and hospital publications
VI. The oversight of various development centers
VII. Medical reform planning and development
VIII. Medical education reform – planning and development
IX. The development of a multiple-user, language-friendly hospital environment
X. Additional large-scale development plans

B. The Research & Oversight Group
I. The surveillance of medical service standards
II. The improvement of medical service quality
III. The receipt, response and follow-up of all written complaints and Mayoral Office medical-related inquiries
IV. The preparation of all responses to requests for information from the Taipei City Council
V. The review and oversight of various projects
VI. Official document tracking and management
VII. Hospital review and testing
VIII. Patient satisfaction surveys and analysis
IX. The compilation of annual official government documentation
X. The conducting of international exchanges

C. The Performance Management Group
I. Follow-up performance management reviews
II. The development of merit-based compensation methods
III. Working with department leaders to create new performance indicators
IV. The improvement of staff attitudes towards merit-based compensation methods
V. The creation of comprehensive performance indicators for all hospital departments and procedures
VI. The implement of the Rollout Executive Information System (EIS) throughout the entire Taipei Hospital system
VII. The customization of the EIS system to include Key Performance Indicators as needed
VIII. Performing data analyses for the Hospital Administration
IX. Track hospital operational service levels to ensure high quality performance
X. Calculating and analyzing operating performance data

D. Community Health Promotion
I. Media relations and the preparation of press releases
II. Event planning and public relations
III. Publication of hospital internal information
IV. The tracking and reporting of English and Chinese news
V. The distribution and reporting of the Emergency Room Employee Schedule
VI. Planning and implementation of community-based health promotions
VII. CIS planning and implementation
VIII. Hospital promotions
IX. Health Promotion and Education Campaigns
1. Working with the Municipal DOH and Taiwan Area DOH
2. Initiating hospital-based health promotions
3. Promoting community, school campus and workplace health
4. Planning large-scale media campaigns

2.Medical Affairs Office
Patient registration, fee collection, outpatient services, patient bed management, communicable disease statistical analysis, and public inquiries
A. Clinical services
B. Inpatient services
C. National Health Insurance services
D. Patient data analysis
E. Patient record Management

3.The Community Affairs Office
A. Assisting patients and families that have experienced difficulties (mental anguish, family pressure, economic issues etc) due to medical treatment or illness.
B. Assisting low-income patients and their families.
C. Working with the private sector to provide better healthcare for residents of Taipei City
D. Facilitating the creation of Patient and Family Groups to allow those who suffer from or care for person with a similar disease to band together and better understand each other's situation.

4.General Affairs Office
A. Manage all Taipei City Hospital’s ambulances, parking lots, meeting rooms, public spaces, and shuttle buses
B. Cashier/Property Management
I. The accurate calculation and disbursement of all payroll, merit-based pay, and expenses.
II. Revenue forecasting and calculation
III. All property management, movement and tracking
C. Purchasing
I. Purchasing and requisitions for the Taipei City Hospital
II. Annual purchasing forecasts
III. The storage and management of supplies
D. Document Tracking
I. The management of official chops and stamps
II. The oversight and management of Taipei City Hospital documentation flow

5.Health and Workplace Safety Office
A. Ensuring workplace safety and the adherence of employees to various safety codes (e.g., plumbing, HVAC, structural engineering, fire, public safety regulations, etc.)
B. Being authorized to contact various public safety authorities and supervise official safety inspections
C. Undertaking initial planning and supervision of safety issues related to major construction and reconstruction projects
D. Medical Engineering and Technology
I. Preparing engineering analyses prior to the installation of medical equipment
II. Rehabilitating older medical equipment and finds suitable facilities for equipment reuse
III. Managing the cleaning and regular maintenance of medical equipment
IV. Training medical personnel re the proper usage of medical equipment
V. Ensuring clinical practices are in-line with official regulations and laws
VI. Digitization of all medical equipment manuals and instructions

E. Safety & Workplace Health Office
I. Ensure workplace safety and adherence to labor safety codes
II. Ensure all employees have performed physical checkups
III. Establishment of standardized working environments throughout the Taipei City Hospital System
IV. Empower hospitals to perform quality self-management of workplace safety standards

F. Environmental Health Office
I. Exhaust vent upkeep, management and planning
II. Wastewater treatment, management and planning
III. Cleaning service management, planning and service schedule
IV. Drinking water machine upkeep and management

G. Technology Office
I. Internet/Intranet infrastructure management, planning and upkeep
1. This covers the Department of Health, the Community Health Centers, and all branches of the Taipei City Hospital
2. Ensuring uninterruptible connectivity for the abovementioned organizations
3. Responsible for data integrity, including regular backup to ensure zero data loss and comprehensive data warehousing
II. Ensuring high-quality intranet/Internet connections for all users via active monitoring and management of line quality, the forecasting of loads, and the use of safe information handing techniques

H. Human Resources Office
I. Charged with the management of human resources in accordance with R.O.C. laws
II. The hiring, organizing, training, re-education and notification of all Taipei City Hospital employees
III. The safe management of all Taipei City Hospital human resource records
IV. The calculation and distribution of benefits

I. Government Ethics Office
I. Oversight of all activities within Taipei City Hospital to ensure adherence to ethical and lawful practices
II. Loss prevention to eliminate data and/or property loss
III. Responsible for the security of all Taipei City Hospital employees, facilities and property
IV. Internal & external surveillance to prevent fraudulent activities

J. Accounting Office
I. All accounting related activities
Medical Services
1. The basic human resource management of medical personnel
2. The development of plans to improve medical service quality throughout Taipei City Hospital system
3. Planning, development, staffing, and operation of the Central Laboratory
4. The creation and operation of specialty care/research centers within each Taipei City Hospital branch, in total, ten specialty centers
5. Directly responsible for all medical services performance of all departments
6. The establishing and promotion of for-merit based pay structures to foster more effective medical treatment and a sense of ownership/ responsibility among medical personnel
7. Increase medical treatment efficiency and efficacy
Medical Affairs
1. Oversight of the Pharmaceutical, Dietary, & Nursing Divisions
2. Quality control re communicable disease control
3. Unified purchasing control, logistics and tracking for pharmaceutical products, medical instruments and the inventory
4. Implementation of first-in-first-out inventory control to deplete vestigial stocks of non-compliant pharmaceutical products
Research & Education
1. Develop annual and long-term research timelines for the Taipei City Hospital
2. Oversee all of the research and education projects within the entire Taipei City Hospital System