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Health Care Clínic Corporation Hospital Clínic

Health Care Clínic Corporation Hospital Clínic University of Barcelona. Hospital Organization. 1996. Institut of Thorax Diseases. Institut of Digestive & Metabolic Diseases. Institut of Neurosciences.

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Health Care Clínic Corporation Hospital Clínic

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  1. Health Care Clínic Corporation Hospital Clínic University of Barcelona

  2. Hospital Organization 1996 Institut of Thorax Diseases Institut of Digestive & Metabolic Diseases Institut of Neurosciences Institute of Thorax Diseases Institute of Digestive & Metabolic Diseases Institute of Neurosciences Institut of Nephrology & Urology Emergencies-Operating Rooms Anesthesia-UASP-Pharmacy Medical Direction Institut of Hematology & Oncology Institute of Nephrology & Urology Emergencies-Operating Rooms Anesthesia-UASP-Pharmacy Medical Direction Institute of Hematology & Oncology Institut of Gynecology Obstetrics & Neonatology Institut of Medical & Surgical Specialities Institut of Internal Medicine & Dermatology Institute of Gynecology Obstetrics & Neonatology Institute of Medical & Surgical Specialities Institute of Internal Medicine & Dermatology Institute of Ophtalmology Center of Biomedical Diagnosis Center of Diagnosis by the Image Center for Biomedical Diagnosis Center for Imaging Diagnosis

  3. Reference physician Process Units Increasing the efficiency of hospital organization Instituts Day Care Diagnostic Units Wards ICU

  4. RESPONSABILITIES OF PROCESS UNITS • Updated clinical guidelines and pathways • To assure high quality clinical database management • Identifiy clinical outputs to be measured based on the best practices • Transversal follow-up of patient’s disease through different episodes and different healthcare levels • Research and innovation on diseases included • Education for health professionals and patients

  5. Community Care Familiy physician Nurse Social worker Home care Transplant CHF COPD Dementia Fragmented healthcare systems Hospital vs Territorial Healthcare HOSPITAL Behaviour and attitudes of health professionals. Lack of education for professionals promoting coordinated efficient work. Lack of citizen’s education on a rational use of healthcare systems. The payment systems that in many cases do not encourage coordinated work. Territorial Healthcare Process Units

  6. EAPs EAPs EAPs ICS ICS ICS EAPs EAPs EAPs CAPSE CAPSE CAPSE 5D 5D EAP EAP EAP Gesclínic Gesclínic Gesclínic EAP Les EAP Les EAP Les Hortes Hortes Hortes EAPs EAPs EAPs Vallplasa Vallplasa Vallplasa 5E 5E Hospital Hospital Hospital Clínic Clínic Clínic Hospital Hospital Hospital Sagrat Sagrat Sagrat Cor Cor Cor 4C 4C 5C 5C Clínica Plató Clínica Plató Clínica Plató 5B 5B 4B 4B 5A 5A CAP II Manso (ICS) CAP II Manso (ICS) CAP II Manso (ICS) 4A 4A CAP II CAP II CAP II Numància Numància Numància (ICS) (ICS) (ICS) 2E 2E 3E 3E 3G 3G 2C 2C 2B 2B 3D 3D 2D 2D 2A 2A 3B 3B 3A 3A 3C 3C THE BASELINE SITUATION IN BARCELONA: Territory and Providers BARCELONA ESQUERRA • 550.000 inhabitants • 18 Primary Care Centers (5 different healthcare trusts) • 4 Hospitals • 1 main Social-health center • 3 Mental Health Providers • Catalonia Medical Emergency Service

  7. Process 1 Process 2 Process 3 Process 4 Health Transport Pharmacy Pediatric care Home Care Social Care Territorial Health Care Comission Barcelona Esquerra Institutions representative Permanent Comission Technical Management Team Implementation & follow-up Redesign Mental health Specialized Care IT Emergencies Operational Committees

  8. Hospital Consultant Emergency team Case Manager Primary Care Mobile teams Home Primary Care Team Patient Relatives & Care givers Adaptation of health services to chronic patients (shared care arrangements across the system)

  9. Benchmarking among the top hospitals in Spain Institut of Thorax Diseases Institut of Digestive & Metabolic Diseases Institut of Neurosciences Complexity 1,1625 Mean stay 0,8877 Ambulatory surgery 1,2000 Mortality 0,7770 Morbidity 0,9789 Readmissions 0,9824 Since 2001 Hospital Clinic has been ranked among the four best hospitals in Spain regarding health outcomes, efficiency, and productivity. Institut of Nephrology & Urology Emergencies-Operating Rooms Anesthesia-UASP-Pharmacy Medical Direction Institut of Hematology & Oncology Institut of Gynecology Obstetrics & Neonatology Institut of Medical & Surgical Specialities Institut of Internal Medicine & Dermatology Center of Biomedical Diagnosis Center of Diagnosis by the Image

  10. Ranking of aggregate specialties Reputation Index Nº Special. Hospital Clínic, Barcelona 107,9 11/13 Hospital Vall d’Hebron, Barcelona 83,5 12/13 Hospital La Paz, Madrid 71,4 8/13 Hospital Doce de Octubre, Madrid 67,9 8/13 Clínica Universitaria, Navarra 46,1 5/13 Hospital Sant Pau, Barcelona 39,0 7/13 Hospital Ramón y Cajal, Madrid 35,4 7/13 Hospital La Fe, Valencia 31,4 7/13 Hospital Gregorio Marañón, Madrid 26,2 3/13 Hospital de Bellvitge, L’Hospitalet 20,9 6/13 Hospital Puerta de Hierro, Madrid 15,6 4/13 Hospital Marqués de Valdecilla, Santander 9,0 2/13

  11. Fuente: 16/03/2011 The top 10 hospitals selected for physicians to be trained in Spain (2001-2011) • Hospital Clínic, Barcelona • Hospital Gregorio Marañon, Madrid • Hospital la Paz, Madrid • Hospital 12 de Octubre, Madrid • Hospital La Fe, Valencia • Hospital Valle de Hebron, Barcelona • Hospital Virgen del Rocío, Sevilla • Hospital de Cruces, Baracaldo • Hospital de Bellvitge, L’Hospitalet • Hospital Miguel Servet, Zaragoza

  12. Research & Innovation

  13. RESEARCH: Integrating high quality clinical research with high level basic research. University of Barcelona Biomedical Research Institute of Barcelona belonging to High Counsel of Scientific Research (Central Government) (IIBB-CSIC) Clínic Hospital Barcelona Generalitat de Cataluña (Catalonia Governement) Associate Centre Members of IDIBAPS Consortium Support :Clínic Foundation

  14. Research Centers

  15. Research Support Services • Image Analysis Unit (HC). • Unit for Optical Recording of Cell Signals. • Cell Culture Unit (HC). • DNA Unit (HC). • Tumour Bank (HC) . • Evaluation, Support and Prevention Unit (HC). • Library of Medicine (UB). • IDIBAPS Store (IDIBAPS). • Microscopy Unit (SCT-UB). • Neurological Tissue Bank (SCT-UB). • Radioisotope Service (UB). • Animal House (UB). • Genomics Unit (IDIBAPS). • Proteomics Unit (IDIBAPS). • Bioinformatics Unit (IDIBAPS). • Cytomics Unit (IDIBAPS). Flow Cytometry Service and Cell Sorting. • Nanobiotechnology Unit (IDIBAPS).

  16. Hospital Clinic leads the Spanish ranking in terms of scientific impact Top ten hospitals in Spain Hospital Clínic is ranked among the first 25 best hospitals in the world regarding scientific production. Méndez-Vásquez R, Suñén E, Cervelló R, Camí J. Mapa bibliométrico de España 1996-2004: Biomedicina y Ciencias de la Salud. Med Clin (Barc) 2008; 130: 246-53.

  17. HOSPITAL CLINIC - CLINICAL TRIALS HCB is the leading Hospital in Spain in Clinical Trials 1. USA, 2. Germany, 3. France, 4. Canada, 5. UK 6. Spain 7. Italy Clinical Trials reviewed by Hospital Clinic IRB

  18. Technology Transfer & Biz Development Unit (2007-June 2013) Activity Indicators IdeasAssessment Protection Negotiation (VC, industry) Tech Transfer / Spin-off Translational Research Focus 163Agreements: Including MTA, licenses, alliances & collaborations 389 Ideas 54Active PatentFamilies 10RegisteredSoftware 4Spin-offs innovacio@clinic.ub.es | +34 93 227 9165 18

  19. ROADMAP We should develop the potential to be at the forefront of healthcare delivery innovation by embracing the evolution of medicine and technology System Medicine The 4 P’s of Medicine: Predictive Personalized Preventive Participatory 2020 Personal ized Health Services Evolved Integrated Care Services 2011 Use of technology

  20. Fira de Barcelona May 21th -22th , 2014 Organizer: The City of Barcelona. Chair: Dr. JM Piqué, Managing Director Hospital Clínic

  21. QS World University Rankings 2011 - Faculty Rankings Life Sciences & Medicine EUROPE 17. Helsinki (66) 18. Amsterdam (69) 19. Utrecht (71) 20. Berlin-Freie (72) 21. Barcelona (74) 22. Leiden (76) 23. Lund (77) 24. Marie Curie (79) 25. Dublin-Trinity (80) 26. Dundee (85) 27. Shefield (89) 28. Nottingham (91) 29. Erasmus (92) 30. London School (93) 31. Freiburg (94) 32. Aarus (95) • Cambridge (2) • Oxford (3) • Imperial College (11) • Karolinska (22) • Edimburgh (23) • King’s College (25) • Zurich Technol (30) • Heildelberg (38) • Manchester (43) • South Wales (48) • Copenhagen (52) • Uppsala (55) • Glasgow (56) • Zurich (61) • Leuven (62) • Berlin-Humboldt (65) 32. Birmingham (96) 33. Basel (98) 34. Strasbourgh (99) 35. Leeds (101) 36. Göttingen (103) 37. Vienna (104) 38. Ecole Paris (106) 39. Liverpool (107) 40. Geneva (110) 41. Stockholm (111) 42. Munich (113) 43. Ghent (118) 44. Oslo (119) 45. Maastricht (123) 46. Madrid-Complut (124) 47. Milano (125) (-) world ranking

  22. Challenges in health care How to generate and to incorporate new knowledge and technologies in practice health care How to increase the efficiency of health service delivery

  23. Working Lines in Innovation Research : turning resources into knowledge through scientific talent (with the support of management); Innovation : turning knowledge into health and social impact and resource generation through organizational talent. Health Technology Assessment Project & Business Development Technology Integration and Health care Efficiency

  24. Projects & Business Development Telemedicine 2007 /2010 Neuroscience 2009 2011 Projects with industry R&D HCB : Projects initiated by hospital Alliances : Projects initiated by industry Start – up companies Medical Devices 2009 Immunology 2010

  25. Integrated care at HCB 2000 2002 2004 2006 2008 2010 2012

  26. Long tradition in leading Chronic care/telemedicine projects in the EU 2000-03 • Embryonic ICT platform • Clinical validation of limited model 2004-06 • Conceptual platform • Market analysis / deployment strategy 2007 • Integrated Care Unit is created 2008-12 • Effective deployment: Facing co-morbidity, articulation health / social care. Sustainable business models. • Reliability of ICT platform 2010 • Creation of the spin-off 2010-13 • Large scale-deployment / regional level

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