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q uality vs. profit ?. changing health performance. introduction MIC Clinic. specialised for minimally invasive surgery. general surgery. urology. gynaecology. special medical centers for. coloproctology. obesity. endometriosis. hernia surgery. reconstructive gynaecology.
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quality vs. profit? changinghealthperformance
introduction MIC Clinic specialisedforminimally invasive surgery generalsurgery urology gynaecology specialmedicalcentersfor coloproctology obesity endometriosis hernia surgery reconstructive gynaecology difficult cases
cm target ambulance ward OR ward ambulance DRG N21Z revenue 3.321,42 € costscheckup 120,00 € costs ward 210,76 € costsinstruments 440,12 € coststrays 77,25 € costsoperation 903,44 € contributionmargin 1.569,85 € Logistic Center Logistic Center ambulance ward ambulance OR 82 % ward ambulance ward OR ward ambulance
actual cm ≥ target cm goal TRANSPARENCY needs changemanagement consequence
instrumentmanagement consumptionprocess OR process OR process sterilisation process sterilisationprocess Logistic Center ambulance ward OR ward ambulance
- 180.000 € instrumentmanagement 2007 / 12 2007 deliveredtrays GAP ? ? planned trays
instrumentmanagement ? software single instruments trays optics
instrumentmanagement causes morespecificcases noadequatetray stock
instrumentmanagement delivered trays 2007 planned trays 2011
time management cm target DRG N21Z revenue 3.321,42 € costscheckup 120,00 € costs ward 210,76 € costsinstruments 440,12 € coststrays 77,25 € costsoperation 903,44 € contributionmargin 1.569,85 € TIME
time management surgeonmissing reportsmissing 1. OP 2. OP 3. OP turnaraound time turnaround time information missing patientmissing littleorno scopeforoptimizing high scopeforoptimizing
OP time management thelater a fault isdetected, thehigherthecosts fortroubleshooting process planning OP process governence Avoid non-fluid workflow
time management OP 1 OP 2 OP 3 OP 4
neverendingstory transparency change successstory efficiency compaction transparent instrumentmanagement 15 min. turnaround time in the OR 5100 cases in 54 beds No1 in Germany accordingtopatientsurvey 2012
& quality vs. profit ! ?