changing health perfomance quality vs. profit?. 03.09.2013 2 introduction mic clinic general surgery...
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![Page 1: Changing health perfomance quality vs. profit?. 03.09.2013 2 introduction MIC Clinic general surgery gynaecology urology special medical centers for obesity](https://reader038.vdocuments.site/reader038/viewer/2022110304/551c2d70550346a34f8b6196/html5/thumbnails/1.jpg)
changing health perfomancequality vs. profit?
![Page 2: Changing health perfomance quality vs. profit?. 03.09.2013 2 introduction MIC Clinic general surgery gynaecology urology special medical centers for obesity](https://reader038.vdocuments.site/reader038/viewer/2022110304/551c2d70550346a34f8b6196/html5/thumbnails/2.jpg)
03.09.2013 2
introduction MIC Clinic
general surgerygynaecology urology
special medical centers for
obesity coloproctology herniasurgery
endometriosis
specialised for minimally invasive surgery
difficultcases
reconstructivegynaecology
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03.09.2013 3
19971998
19992000
20012002
20032004
20052006
20072008
20092010
20112012
0
1000
2000
3000
4000
5000
6000
26
1413
2313
2882 30523285
39994367
5100
case development
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03.09.2013 4
ambulance
ward
OR
ward
ambulance
ambulance ambulanceward OR ward
Logistic Center
ambu
lanc
e
ambu
lanc
e
war
d OR 82 %Logistic Center
war
d
cm target
DRG N21Z revenue 3.321,42 €
costs checkup 120,00 €costs ward 210,76 €costs instruments 440,12 €costs trays 77,25 €costs operation 903,44 €
contribution margin1.569,85 €
![Page 5: Changing health perfomance quality vs. profit?. 03.09.2013 2 introduction MIC Clinic general surgery gynaecology urology special medical centers for obesity](https://reader038.vdocuments.site/reader038/viewer/2022110304/551c2d70550346a34f8b6196/html5/thumbnails/5.jpg)
03.09.2013 5
goal
needs
consequence
actual cm ≥ target cm
TRANSPARENCY
change management
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03.09.2013 6
Prozess Sterilisatio
n
Prozess OPOR
process
consumption process
instrument management
sterilisationprocess
ambulance ambulanceward OR ward
Logistic Center
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03.09.2013 7
2007 / 12
KW 6 KW 7 KW 8 KW 9 KW 10 KW 11 KW 12 KW 1360
70
80
90
100
delivered trays
planned trays
GAP
? ?
2007
instrument management
- 180.000 €
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03.09.2013 8
2006 2007290030003100320033003400
cases
2006 20070%
10%20%30%40%50%60%70%80%90%
100%
single instruments
trays
optics
instrument management
?software
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03.09.2013 9
![Page 10: Changing health perfomance quality vs. profit?. 03.09.2013 2 introduction MIC Clinic general surgery gynaecology urology special medical centers for obesity](https://reader038.vdocuments.site/reader038/viewer/2022110304/551c2d70550346a34f8b6196/html5/thumbnails/10.jpg)
03.09.2013 10
instrument management
more specific cases
causes
no adequate tray stock
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03.09.2013 11
KW 6 KW 7 KW 8 KW 9 KW 10 KW 11 KW 12 KW 13120
125
130
135
140
145
150
instrument management
KW 6 KW 7 KW 8 KW 9 KW 10 KW 11 KW 12 KW 1360
70
80
90
100
deliveredtrays
planned trays
2007
2011
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03.09.2013 12
TIME
time management
cm targetDRG N21Z revenue 3.321,42 €
costs checkup 120,00 €costs ward 210,76 €costs instruments 440,12 €costs trays 77,25 €costs operation 903,44 €
contribution margin1.569,85 €
![Page 13: Changing health perfomance quality vs. profit?. 03.09.2013 2 introduction MIC Clinic general surgery gynaecology urology special medical centers for obesity](https://reader038.vdocuments.site/reader038/viewer/2022110304/551c2d70550346a34f8b6196/html5/thumbnails/13.jpg)
03.09.2013 13
high scope for optimizing
little or noscope for optimizing
1. OP 2. OPturnaroundtime
3. OPturnaraoundtime
time management
surgeon missing
reports missing
information missingpatient missing
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03.09.2013 14
time management
OP
Avoid
non-fluid
workflow
the later
a fault is detected,
the higher the costs
for troubleshootingOP
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03.09.2013 15
OP 1
time management
OP 2 OP 3
OP 4
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03.09.2013 16
15 min. turnaround time in the OR
transparent instrument management
never ending story
5100 cases in 54 beds
success storytransparency change
efficiency compaction
No 1 in Germany according to patient survey 2012
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03.09.2013 17
quality ?profit& !vs.