Partners Healthcare System Partners Healthcare System Topics and - PDF document

e- -Healthcare & Healthcare & e Jack Hsiao 蕭乃彰 e- -Hospital Hospital – – Examples at Harvard Examples at Harvard e � 蕭中正醫院 營運中心營運長 Affiliated Hospitals and Partners Affiliated Hospitals and Partners � Faulkner / Brigham & Women’s Ob/Gyn Healthcare System Healthcare System Associates 婦產科醫師 � 前 秀傳醫療體系副營運長 / 國際厚生執行長 � Esplanade NewsLine Editor-In Chief 蕭乃彰 Jack Hsiao, M.D., Ph.D. � 波士頓大學醫學院 (Boston University, School of Medicine) M.D., Ph.D. at 慈濟大學 醫學資訊學系 � 台北市立國語實驗國民小學 May 10, 2007 Partners Healthcare System Partners Healthcare System Topics and Contents - 哈佛大學的教學醫院 (Massachusetts General Hospital � Harvard Affiliated Hospitals and Partners Healthcare System (MGH), Brigham & Women’s Hospital (BWH) , and Dana-Farber/Partners CancerCare ) � E-Health Models at Partners Healthcare - 全美最大的以醫院為主的醫療研究機構 ( US$680 million) � Virtualization of Healthcare Industry - 史上共有二十一位諾貝爾獎得主曾於 Partners 所屬醫 院工作或受訓 � Center for Integration of Medicine & Innovative - U.S. News & World Report’s 前十大醫院年度評鑑 , Technology and MIT’s Auto-ID in Healthcare ＭＧＨ & BWH 是唯一位於同一城市 (Boston) 的綜合醫 � Northeast Proton Therapy Center and Cancer 院 ,連續 17 年 (1989-2006) Treatments Partners Healthcare’ ’s Firsts s Firsts Partners Healthcare System ( Partners Healthcare System ( 續） Partners Healthcare 續） 1846 首先於手術使用麻醉 (MGH) - 營運收入 (2006 年 ) 32.1 (million, US$) 1896 全美首先使用X光作診斷 (MGH) - 病床數 3,632 1929 首先使用鐵肺來拯救小兒麻痺患者 (BWH) - 住院人次 163,892 1947 首先成功地運用人工洗腎機(血液透析器) (BWH) - 門診人次 3,210,966 1954 首例成功的人體器官移植 (BWH) - 生產人次 23,050 1960 首先發展子宮抹片的檢驗做為子宮頸癌的簡篩檢 (MGH) - 手術人次 83,081 1962 首例成功的骨盆腔修復手術 (MGH) 41,090 住院病人 1964 首先發展血庫因應血液的長期需求 (MGH) 41,991 非住院病人 1968 首先展示遠距醫療 (MGH) 6,806 - 醫師 1970 首先發展並應用非侵入性的影像檢查 ( 包括 Positron 1,632 - 住院醫師 Emission Tomography scanning (PET) 及 Magnetic - 臨床研究員 895 Resonance Imaging (MRI)) (MGH) - 基礎醫學研究員 1,852 6,925 - 護理人員 15,108 - 工作人員 (教育,行政,法務,宣傳,財務等)

Massachusetts General Hospital Partners Healthcare Partners Healthcare’ ’s Firsts (cont.) s Firsts (cont.) - Founded in 1811, Massachusetts General Hospital (MGH) is recognized as a world leader in academic medicine and has made pivotal 1981 首先自活體細胞製作人工皮膚 (MGH + MIT) contributions to the advancement of medicine throughout history. 1996 首先使用術中核磁共振造影 (BWH) - MGH provides sophisticated, multidisciplinary diagnostic and 1998 首先發展利用基因分析的技術治療腦瘤 (MGH) therapeutic care in every medical specialty and subspecialty, including: 2000 於愛滋病研究方面初期偵測出人類免疫不全病 • Alzheimer's and Other Neurodegenerative Diseases • Brain Tumor Center and Cancer Surgery Center 的治療有突破性的發展 (MGH) • Cardiovascular Research Center 2001 使用質子光治療進行癌症放射線治療 (MGH) • Center for Bone Marrow Transplantation • Division of Abdominal Imaging and Intervention 2002 首先進行癌症標示的方法進行腫瘤治療 (DFC) • International Patient Center • Orthopedic Surgery (ESWT Center) 2003 首先發展全方位的 Complimentary and Alternative • Pain Center Medicine (CAM) 來進行腫瘤治療 (DFC) • Proton Beam Center • Transplantation Biology Research Center Brigham and Women’s Hospital Dana-Farber CancerCare � Brigham and Women's Hospital (BWH) is a world-renowned center � Dana-Farber CancerCare is dedicated to providing the highest quality for advanced patient care, research, and medical education. care and the most advanced treatments for adults with cancer. � Specialty Practice Centers including: � Many kinds of cancer and blood disorders are treated within the 12 • Breast Cancer Research Center disease programs that are the cornerstone of Dana-Farber CancerCare: • Center for Chest Diseases • Breast Cancer • Center for Reproductive Biology • Endocrine Cancer • Center for Women's Mental Health • Gastrointestinal Cancer • Gynecology and Oncology • Genitourinary Cancer • Gynecologic Cancer • Orthopedic and Arthritis Center • Head and Neck Cancer • Pediatrics • Melanoma • Women’s Health Services • Neurologic Cancer • Sarcoma • Thoracic Cancer Partners’ Partners Partners’ Intra-Hospital Programs - Largest cancer care program in the U.S. Brigham and Women’s Hospital Cambridge Hospital - 12,000+ new cancer patient each year Dana-Farber/Partners CancerCare - Over 700 active clinical trails at BWH Emerson Hospital Faulkner Hospital and MGH, and 300 at Dana-Farber Hallmark Health System - Implementations of advanced technology: Massachusetts General Hospital proton bean therapy, intra-operative McLean Hospital radiotherapy with a dedicated linear Newton-Wellesley Hospital accelerator, intro-operative MRI for brain North Shore Children’s Hospital Salem Hospital tumor surgery Shaughnessy-Kaplan Rehabilitation Hospital Spaulding Rehabilitation Hospital Union Hospital + Major Teaching Affiliate of Harvard Medical School

Partners’ Intra-Hospital Programs (cont.) Partners’ Intra-Hospital Programs (cont.) Clinical & Research Programs Graduate Medical Education - AIDS Research Center - Joint Residency and Fellowship Programs - Center for Human Genetics Institute of Health Professions - Center for Innovative Minimally Invasive - Physical therapy, speech-language Therapy pathology, and clinical investigation Clinical Trials (CRNet) Continuing Medical Education - Online list of open trials by therapeutic - Projects with Harvard Medical School area Dept. of Continuing Education - Online submit and enrollment Online Symposia - Grand Rounds and CME Partners’ Intra-Hospital Programs (cont.) Partners’ Intra-Hospital Programs (cont.) - Conduct negotiations for affiliated Partners International hospitals - International Patient Referral - Resolving legal issues Service - Public relations and marketing - Center for International Healthcare efforts Education - Publications Partners Telemedicine - Resource/finance management - Online specialty consultations - Physician access programs - Video conference / multimedia - Video-on-demand Partners’ Intra-Hospital Programs (cont.) Current e- -Operations Operations Current e Center for Integration of Medicine & Innovative Technology (CIMIT) - Collaboration between Partners Healthcare & � - Lab results, MRIs, prescriptions, medical Massachusetts Institute of Technology (MIT) histories, outpatient exam records, and other patient data are stored on the hospital computer - Applied research focus on: system. * Cardiac disease � - Doctors with Internet connection and the * Stroke security clearance to view patient’s record, to * Trauma/critical care communicated with each other and patients. * Tissue engineering � - Patients form online support groups to * Medical simulation communicate with each other over the hospital * Image guided therapy systems. * Evident-based medicine