Integrity Management

• Regulatory Compliance

To maintain medical quality, ensure patient safety, and enhance governance transparency, NCKU Hospital has established a comprehensive internal control and major incident response system. Through cross-departmental system design, a clear and prompt process for major incident response and communication has been constructed, not only addressing concerns from patients and stakeholders but also strengthening hospital governance and internal control effectiveness. This reflects the hospital’s commitment to high-quality medical services and transparent organizational governance. The system covers two major areas—medical incidents and infection control—and, in accordance with regulations and internal management standards, any occurrence that meets the following criteria will be deemed a major violation, triggering the reporting and handling procedures:

As of 2024, NCKU Hospital has not experienced any major violations or penalties requiring reporting to the competent authorities, consistently demonstrating high standards in regulatory compliance and risk management.

In response to various major incidents, the Hospital has established multiple reporting mechanisms to allow patients and stakeholders to voice their concerns. These include the Superintendent's Mailbox, online message board, feedback forms, and dedicated telephone lines. For complaints, the designated unit will contact the complainant on the same day, provide support as needed, and document meeting records to track the progress of handling. Each case is handled by the responsible unit according to the stage of the incident and is compiled and submitted to the relevant Deputy Superintendent before being reported to the Superintendent for approval. Cases with potential for medical disputes will be handled by the “Medical Dispute Concern and Resolution Task Force” and escalated to the Superintendent for approval according to the reporting hierarchy. The handling process is as follows:

• Conflict of Interest

NCKU Hospital adopts a governance and operations separation management structure. Hospital affairs are managed by the Executive Team, while the Oversight Team is composed of diverse members, including external professionals from various fields in addition to the university president. All members of the Oversight Team adhere to the principle of avoiding conflicts of interest, ensuring objectivity and fairness in decision-making and enhancing the transparency and accountability of the governance mechanism.

The Hospital establishes the position of Superintendent, responsible for planning and executing medical policies, operational plans, annual budgets, human resource allocation, and organizational development. Each year, the Superintendent leads the Executive Team in formulating the annual development plan as well as the hospital-wide quality and patient safety goals, which are executed upon approval by the Oversight Team.

The Superintendent is required to regularly report hospital management performance to the Oversight Team as a basis for reappointment and personnel decisions. By clearly distinguishing supervisory and executive responsibilities, NCKU Hospital effectively reduces the risk of potential conflicts of interest and strengthens the professionalism and independence of hospital governance.

• Anti-Corruption Mechanism

As a legally established public hospital, NCKU Hospital upholds the principles of integrity governance and law-based administration, and is committed to the establishment and implementation of anti-corruption mechanisms. The Hospital is fully aware that corrupt practices not only damage the organization’s reputation but also severely impact the quality of medical services, the rights of patients, and public trust. Therefore, the Hospital adopts a policy of “zero tolerance” toward corruption, consistently adhering to the core values of integrity, transparency, and accountable governance to strengthen its anti-corruption system and foster an honest, fair, and safe medical service environment.

• Collective Agreement

The Hospital’s labor union was officially registered on April 24, 2024. However, a collective agreement has not yet been signed in accordance with the Collective Agreement Act. Relevant issues are discussed through negotiation meetings, which are governed by established operational guidelines. In 2024, a total of three negotiation meetings were held. In addition, labor issues may also be communicated and discussed through labor-management meetings initiated by labor representatives. The Hospital also provides various channels such as the Cheng Kung Window, the Employee Communication Platform, and other employee complaint mechanisms to ensure employees’ voices are fully heard.

• Multiple Accessible Whistleblowing Channels

The Hospital has established multiple channels for feedback, including the “Superintendent's Mailbox,” the “Cheng Kung Window Employee Feedback Platform,” and the “Employee Communication Platform” in the personnel system. These channels handle feedback from both external customers and internal staff.