課程資訊
課程名稱
醫療品質的應用與卓越模式
Application and Excellence Model for Quality of Care 
開課學期
110-2 
授課對象
公共衛生學院  健康政策與管理研究所  
授課教師
鍾國彪 
課號
HPM7103 
課程識別碼
848 M0350 
班次
 
學分
2.0 
全/半年
半年 
必/選修
必修 
上課時間
星期六1,2,3,4(8:10~12:10) 
上課地點
公衛601A 
備註
上課時間:單週8:40-12:20週六雙週上課。與陳雅美、郭年真合授
限本系所學生(含輔系、雙修生) 且 限碩士在職專班生
總人數上限:24人 
 
課程簡介影片
 
核心能力關聯
核心能力與課程規劃關聯圖
課程大綱
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課程概述

本課程為品質管理與醫療品質的應用課程,從品質概念到醫療品質;以及品質指標的發展與測量,各種績效測量系統,切入對於醫療品質的深入了解,包含病人端、醫師端、組織端以及政策端。將品質指標從內部的應用,加上風險校正、品質報告卡及論質計酬,國家報告卡、長期照護等。也包含從美國新聞與世界報導之最佳醫院最佳兒童醫院的方法學、SNQ生技醫療品質獎、EFQM歐洲品質獎等的介紹與應用現況。由所上教師與所外校外專家學者,共同授課。
This course was designed for application of quality management and quality of care including from quality concept to quality of care. Quality indicators are major focus to understand the details covering from development to measurement, as well as performance measurement systems within the scope of patient, health professionals, organizations and policy aspects. The course will introduce the internal applications to health care organizations and the external application of risk adjustment for quality indicators for hospital report cards, pay-for-performance, national report card and long-term care. In addition, basic concepts and application of the Best Hospitals and Best Children Hospitals Methodology from U.S. News and World Report, Symbol of National Quality (Safety and Quality) of Biomedical Quality Award as well as Europe Framework of Quality Management will be covered, too. The basic introduction and application for the topics above will be co-teached by lecturers and guest speakers. 

課程目標
1. 了解醫療品質與品質測量的基本概念
2. 了解品質指標的發展以及在組織層級、病人層級以及國家層級之應用
3. 了解卓越模式、最佳醫院的基本概念與應用
1. To be able to translate and apply the knowledge and models of management to improve the performance of an organization. (core competence B)
2. To understand the basic concept about the quality of care and quality indicators, the development process, and the application of quality indicators.
3. To understand the basic concepts and applications of the excellence model and best hospitals methodology.  
課程要求
1.課前閱讀講義或相關內容,以參與討論。
2.某些主題經指定的課前報告或作業
3.個案討論的事先準備與報告
1.Please read handout or assigned readings in order to participate course discussion.
2.Please prepare materials for before-class presentation or homework in some assigned topics
3.Please prepare case study materials in advance for presentation 
預期每週課後學習時數
 
Office Hours
 
指定閱讀
 
參考書目
1.Mark E Splaine; Joint Commission Resources, Inc.; et a Practice-based learning & improvement : a clinical improvement action guide. Oakbrook Terrace, Ill. : Joint Commission Resources, c2012.
2.Goetsch, Stanley B. Davis. Quality management for organizational excellence: introduction to total quality / David L. Prentice Hall, 2010
3.Diomidis H. Stamatis. 10 Essentials for High Performance Quality in the 21st Century. Productivity Press Reference. December 20, 2011 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
課堂參與、小組報告 
40% 
以小組方式進行,每組報告3次個案指定問題;課堂中的討論 
2. 
作業 
20% 
以個人方式,共有2次作業。 
3. 
期末報告 
40% 
以分組方式進行個案的收集與整理,診斷與建議 
 
課程進度
週次
日期
單元主題
第1週
2/26  醫療品質的構面、醫療品質的趨勢、品質問題(鍾)
Overview of Quality of Car, trend and problems 
第2週
2/26  品質問題的目標與改善方法、實證醫學 (鍾)
Closing the quality Gap, Evidence-based Medicine 
第3週
3/12  臨床診療指引、好醫師、好病人 (鍾)
Clinical Practice Guideline, Good doctors, Good patients 
第4週
3/12  品質指標、績效測量系統(鍾)
Quality indicator & Performance measure system  
第5週
3/26  癌症照護核心測量標的發展與應用(鍾)
Core Measures in cancer care: development & application  
第6週
3/26  外賓演講1醫療品質、品質測量與品質指標的應用(孫宗伯主任)
Guest Speech Application of quality indicator & quality management 
第7週
4/9  醫療結果面品質的風險校正 (郭)
Risk Adjustment for clinical outcome indicators 
第8週
4/9  品質指標的應用: 論質計酬與品質報告卡
Application of quality indicators P4P & report card (郭)  
第9週
4/23  品質與健康\衛生政策、組織韌性(鍾)
Quality and Health Policy  
第10週
4/23  美國最佳醫院、美國最佳兒童醫院5/1
Best Hospitals, Best children hospitals  
第11週
5/7  生技醫療品質獎、歐洲品質管理架構、SNQ, Symbol of National Quality;
European Framework of Quality management, EFQM (鍾)  
第12週
5/7  外賓演講2疾病別認證與品質指標應用經驗談(洪聖惠副執行長)  
第13週
5/21  長期照護機構的品質與管理 (陳)
Quality and Management for Long-term care organizations  
第14週
5/21  外賓演講3長期照護機構的品質與創新實務(蔡芳文執行長)
Guest Speech 3  
第15週
  期末報告1 
第16週
6/4  期末報告2  
第17週
6/18  外賓演講4 醫療品質與卓越模式的應用與實務(許惠恒院長)  
第18週
6/18  外賓演講5 醫療品質與SNQ金獎經驗分享 (陳宏基院長) (鍾)
Guest Speech 5