Development of the Joint Commission of Taiwan ’s Smart Healthcare Standard

In this study, we aimed to develop and validate a survey standard to ev aluate the level of IT involvement in hospitals. The quality improvement task force of the Joint Commission of Taiwan (QITF-JCT) conducted a systematic literature review to identify the key elements of major healthcare IT functions. The modified Delphi technique was used to review the importance and appropriateness of these elements through an expert panel, and the JCT Smart Healthcare Standard version 1.0 (JCT-SHS 1.0) was drafted. A total of 40 healthcare quality improvement campaign (HQIC) application projects in 2018 were selected for evaluating nine key dimensions of hospital functions: s ecurity, digitization, automation, interconnection, connectivity, interoperability, mobility, computation, and artificial intelligence. The standard can be used smart hospital evaluation and executed by two experts by on-site evaluation and rating as three-level scale (norm, excellent, and innovativ e). The internal consistency and inter-rater reliability were investigated using Cronbach’s α and kappa statistics, respectively. This standard was evaluated by using 40 HQIC application projects. The Cronbach’s α values were in the range of 0.74–0.92, indicating the good internal consistenc y of the JCT-SHS 1.0 among the nine IT dimensions. The kappa correlation coefficients were 0.68 for security (p = 0.027), 0.47 for digitization (p = 0.042), 0.21 for automation (p = 0.048), 0.82 for interconnectio...
Source: Journal of Medical Systems - Category: Information Technology Source Type: research