Optimized value in Healthcare Our Journey: towards excellent patient outcomes against reasonable costs Prof. dr. Michael Jacobs Professor and chairman Department of Surgery Executive director Heart+Vascular Center Maastricht University Medical Center, The Netherlands
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Optimized value in HealthcareOur Journey: towards excellent patient outcomes against reasonable costs
Prof. dr. Michael Jacobs
Professor and chairman Department of SurgeryExecutive director Heart+Vascular CenterMaastricht University Medical Center, The Netherlands
Agenda
• Introduction
• Ambitions
• Operational Excellence
• Project outcomes
• Value Based Healthcare
Maastricht University Medical Center
Heart+Vascular Center Maastricht
Our Journey
towards excellent patient outcomes against reasonable costs
2001CENTER OFEXCELLENCEAMBITION
500
QUALITY
• Less incidents
• Better clinical outcomes
• Transparency on outcomes
PATIENT EXPERIENCE
• Less waiting
• Seamless integration of patient appointments
• Better upfront awareness about the individual health journey
EMPLOYEES
• Become an employer of choice
• Employee involvement
COST
• Capacity to cure more patients with same resources
Center of Excellence Ambitions
Center of Excellence Ambition (2)
Phlebology
VASCULARSURGERY
CTCCARDIOLOGY
VASCULAR NEURO-
LOGY
VASCULAR INTERNAL MEDICINE
Sustain European top 10 position in Cardio-
vascular research
Reach top 10 position of best Cardio-vascular
Centers in Europe
Our Journey
towards excellent patient outcomes against reasonable costs
2001
2011
CENTER OFEXCELLENCEAMBITION
HOSPITAL WIDEOPERATIONAL EXCELLENCEPROGRAM
Hospital Wide Operational Excellence program:
Becoming a continuous learning organization
2011: Phase 1
pilot
• Pilot projects
• First YB trainings
• Create ambassadors
2012-2013 Phase 2
MDT led deployment
• Best practice visits
• Board trained
• 1000 YB trained
• 70 GB trained
• 3 BB trained
• > 50 projects
2014-present Phase 3
MUMC led deployment
• PMO installed
• 100 Lean managers
• 3000 YB trained
• > 140 projects
• Stable “tools” phase
Hospital Wide Operational Excellence program:
Becoming a continuous learning organization (2)
Ad Hoc(don’t know)
Tools(know how)
System(know when)
Principle(know why)
Time (years)
Matu
rity
Level
Theoretical Model
More likely Model
Some companies
don’t make it
MUMC+
2015
MUMC+
2020
Our Journey
towards excellent patient outcomes against reasonable costs
20012012
2011
CENTER OFEXCELLENCEAMBITION
HOSPITAL WIDEOPERATIONAL EXCELLENCEPROGRAM
INTEGRATION OFCARDIOVASCULARSPECIALTIES
Integration of cardiovascular specialties
(Organizationally and Physically
Timelime Partnership Maastricht UMC+ & Medtronic
Outpatient
clinics
Neurology
Cardiology
Cardiothoracicsurgery
Functional examinationsFrom silo-oriented
Heart+
Vascular
Center
Maastricht
Internalmedicine
Dermatology
Vascular Surgery
Patient-oriented
Our Journey
towards excellent patient outcomes against reasonable costs
20012012
2011
2014
CENTER OFEXCELLENCEAMBITION
HOSPITAL WIDEOPERATIONAL EXCELLENCEPROGRAM
PARTNERSHIPMEDTRONIC
INTEGRATION OFCARDIOVASCULARSPECIALTIES
Medtronic Integrated Health Solutions portfolio
Infrastructure Design and Room Fitting
Capital Equipment Financing, Purchasing
and Installation
Demand Generation
Patient Experience
Ongoing Physician Training
Clinical Service Setup and Expansion
Material Management
Equipment Management and Repair
Planning and Schedule
HR Enablement
Operational Excellence
IT Enablement
Clinical Pathways
TURNKEY SET-UP MANAGE
OPTIMISEDEVELOP
Our Journey
towards excellent patient outcomes against reasonable costs
20012012
2011
2014
2015
CENTER OFEXCELLENCEAMBITION
HOSPITAL WIDEOPERATIONAL EXCELLENCEPROGRAM
PARTNERSHIPMEDTRONIC
PROJECTOUTCOMES
INTEGRATION OFCARDIOVASCULARSPECIALTIES
Example 1:
Eliminating last-minute cancellations Bypass Surgery
Goal: Increase number of surgeries by eliminating cancellation reasons
Significant increase in # of bypass surgeries
Value:
• Average increase of surgeries: +/- 150 per year > $2M additional revenue
• Reduction of pre-op tests (X-ray): $65K
+ 36%
60% reduction of consultation to
surgery time (green=no rework)
Example 2:
Optimization cardiac diagnostic carepathway
Goal: Improve time to diagnosis of new patients by better patient triage