The hospital reported the Taiwan Clinical Effectiveness Indicator System (TCPI) indicator

Background description:

1. The number of hospitals participating in TQIP in Europe and the United States has gradually decreased in recent years. At present, the original international data reference value of TQIP has gradually failed to meet expectations.

2. The use of TQIP indicators is mostly the task of the administrative department, and it is difficult to be close to the clinical needs.

3. The hospital needs to increase resources to implement TQIP:

  a. The indicator collects the numerator and denominator. It is necessary to consider the key in value after various exclusion factors. It is easy to execute in error.

  b. Function use, due to the transfer function restriction, the user needs to reproduce the output report.

Preliminary structure:

1. The medical policy will use TQIP implementation experience to develop quality monitoring indicators that are more in line with the domestic medical system care model.

  Standard (TCPI).

2. A total of 3 comprehensive care, spiritual care and long-term care.

3. Psychiatric care indicators are divided into acute care indicators and chronic care indicators.

 TCPI is divided into four categories: 1. Comprehensive care indicators 2. Acute mental care indicators 3. Chronic mental care indicators

 4. Long-term care indicators

         Because this hospital is a psychiatric hospital, it has joined the report on mental health care indicators. The quality index management system of the hospital will report on the TCPI website every month and complete the registration of the index data. And download the indicator data on the TCPI webpage, analyze the data and control chart of the hospital over the years, and analyze the data of the hospital and the domestic medical center group to understand the trends and the points of the various indicators of the hospital in the domestic medical centers. After the results of the monitoring of each season's indicators are summarized, the TCPI team will meet to discuss the feedback analysis report, and the results will be returned to the relevant units for review and improvement.

         The hospital reported the TCPI indicators as follows:

Code indicator

PsyaFall.E1 recorded total number of falls total events

PsyaFall.E1.1 Number of falls due to patient health

PsyaFall.E1.2 Number of falls due to drug reaction

PsyaFall.E1.3 Number of falls due to risk factors in the environment

PsyaFall.E1.4 Number of falls due to other factors

PsyaFall.E2 Number of injuries caused by falls

PsyaFall.E2.1 Number of falls with minor injuries

PsyaFall.E2.2 Number of falls moderate injuries

PsyaFall.E2.3 Number of serious injuries that have fallen

PsyaFall.E2.4 Number of severely injured injuries

PsyaFall.E2.5 Falling Death Injury Events

PsyaUnR.E1 Psychiatric patients re-hospitalization within 14 days after discharge

PsyaUnR.E1.1 Re-hospital within 14 days after discharge, and the number of previous psychiatric hospital stays ≤ 72 hours

PsyaUnR.E1.2 was hospitalized within 14 days after discharge, and the previous psychiatric hospital stay was >72 hours but ≤15 days

PsyaUnR.E1.3 Re-hospital within 14 days after discharge, and the number of incidents in the previous psychiatric hospital stay for more than 15 days

PsyaUnR.E2 Number of rehospitalizations on the 15th to 30th day after discharge

PsyaUnR.E3 Number of rehospitalizations from 31st to 60th day after discharge

PsyaInj.E1 Patient self-injury incidents

PsyaInj.E1.1 Patient self-injury requires simple care incidents

PsyaInj.E1.2 Number of incidents in which patients need medical care for self-injury

PsyaInj.E2 Number of physical attacks in patients

PsyaInj.E2.1 Patient physical attack requires simple care events

PsyaInj.E2.2 Number of incidents in which a patient's physical assault requires medical attention

PsyaInj.E3 Number of suicide attempts by patients

PsyaInj.E4 Number of suicide deaths in patients

PsyaSec.E1 patient isolation events

PsyaSec.E1.1 Number of voluntary isolation events for patients

PsyaSec.E1.2 Number of involuntary isolation events for patients

PsyaSec.E1.2.1 Number of patient isolation events with isolation time less than 1 hour (inclusive)

PsyaSec.E1.2.2 Number of patient isolation events with isolation time greater than 1 hour but less than 6 hours (inclusive)

PsyaSec.E1.2.3 Number of patient isolation events with isolation time greater than 6 hours but less than 12 hours (inclusive)

PsyaSec.E1.2.4 Number of patient isolation events greater than 12 hours

PsyaTran.E1 Number of people transferred/discharged within 24 hours after hospitalization

PsyaTran.E1.1 Number of people transferred/discharged to non-acute care hospitalization within 24 hours after hospitalization

PsyaTran.E1.2 The number of people who were transferred out/discharged to hospital for acute care within 24 hours after hospitalization

PsyaTran.E2 Hospitalization >24 but the number of people transferred out / discharged within 72 hours

PsyaTran.E2.1 Hospitalization >24 but within 72 hours of transfer/discharge to non-acute care hospitalization

PsyaTran.E2.2 Hospitalization >24 but within 72 hours of transfer/discharge to acute care hospitalization

PsyaTran.E3 Hospitalization>72 hours transfer/discharge to acute hospitalization

PsyaTran.E3.1 Hospitalization > 72 hours transfer/discharge to non-acute care hospitalization

PsyaTran.E3.2 Hospitalization>72 hours transfer/discharge to acute care hospitalization