HOSPITAL OF FUTURE
JAIRO ALARCON. Md Ped. Intensivista. Msc. Epidemiologia.
Esp. Alta Gerencia.
Universidad del Valle.
HOSPITAL OF THE FUTURE
HOSPITAL OF THE FUTURE
Propósito: identificar y comprender los cambios potenciales que pueden impactar los hospitales públicos en Europa, durante los próximos 15 años.Estudio enfoco en dos hospitales:Hospital Universitario de KarolinskaHospital Clinic de Barcelona.Visión de : Lideres hospitales / CEO / Cabezas de Depto / Lideres médicos./ Ejecutivos organizaciones cercanas / y de Empresas de Tecnologías.
HOSPITAL OF THE FUTURE
Revisión Bibliográfica. 45 profesionales : Administradores y Clínicos.Metodología:Investigación Cualitativa: Entrevistas grupales e individualesObjetivo: Identificar , clasificar y comprender las iniciativas, cambios y estrategias que podrían definir el hospital publico europeo en los próximos 15 años.
HOSPITAL OF THE FUTURE
Fases del estudio 1. Revisión de la literatura2. Entrevistas individuales 3. Hallazgos preliminares4. Validación y ranking de los hallazgos5. Discusión en grupos de trabajo.6. Resumen de mensajes claves…..Lista de recomendaciones para Directores.
HOSPITAL OF THE FUTURE
Hospitales Participantes Selección :Hospitales lideres Excelencia resultados Complejidad servicios Centros de referencia. Innovación y adaptación. reconocimiento de la Industria.
HOSPITAL OF THE FUTURE
Hospitales Participantes Selección :2. Son hospitales que son diferentes pero a la vez comparables en los escenarios del sistemas de salud.Difieren en presupuesto y conformación.Han participado en proyectos colaborativos.Han compartido
HOSPITAL OF THE FUTURE
Hospitales Participantes: KarolinskaInaugurado: 1940Presupuesto: 1,7 billones de euros- 15.000 empleados.220.000 visitas a urgencias1,7 consultas ambulatorias109.000 hospitalizaciones1700 habitaciones 6000 admisiones de pacientes extranjeros Publica : 2200 artículos científicos /2500 investigadores
HOSPITAL OF THE FUTURE
Hospitales Participantes: Clinic de BarcelonaInaugurado: 1906Presupuesto: 450 millones de euros- 4500 empleados.124.000 visitas a urgencias113.000 consultas ambulatorias46.000 hospitalizaciones850 habitaciones 1800 estudiantes medicina / 1500 otras carrerasPublica : 1005 artículos científicos /460 investigadores
HOSPITAL OF THE FUTURE
HOSPITAL OF THE FUTUREKEY MESSAGE 1:
A TRIPLE-CHALLENGE CONTEXT FOR HOSPITALS
Los principales hospitales se esforzarán en un contexto desafiante:
Un aumento en las necesidades de atención médica, una disminución de los recursos y
cambios valores sociales.
Mantener un suministro eficiente y de altaServicios en un contexto desafiante. La esperanza de vida en EuropaHa crecido, gracias a las mejoras en la vidaCondiciones, intervenciones de salud pública yEl progreso de la medicina.
HOSPITAL OF THE FUTURE
KEY MESSAGE 2: SMALLER AND MORE COMPLEX HOSPITALS
Leading hospitals will be expected to focus on high-value and highly complex
services and to become highly efficient organizations, without requiring high
activity volumes
HOSPITAL OF THE FUTURE
KEY MESSAGE 3: NEW SCOPE OF SERVICES
Leading hospitals will embrace new services such as personalized medicine
and genome- based diagnosis, with a broader scope of services, which may
include chronic care management.
HOSPITAL OF THE FUTURE
KEY MESSAGE 4: DUAL ORIENTATION: TERTIARY AND TERRITORIAL
Leading hospitals will provide complex services to referred patients and also
manage the provision of acute services in a catchment area.
HOSPITAL OF THE FUTURE
KEY MESSAGE 5: KNOWLEDGE-DRIVEN REDESIGN OF SERVICES
Leading hospitals’ knowledge will play a central role in the knowledge-driven
redesign and planning of healthcare services.
HOSPITAL OF THE FUTURE
KEY MESSAGE 6: OPEN AND DISTRIBUTED ORGANIZATIONS
Leading hospitals will not be defined by the physical structures and will be
organized so they deliver services at different locations.
HOSPITAL OF THE FUTURE
KEY MESSAGE 7: INNOVATION CENTERS OF TECHNOLOGY AND SERVICES
Leading hospitals will be reference centers for process and tecnology
innovation and health care service desing.
HOSPITAL OF THE FUTURE
KEY MESSAGE 8: RESEARCH AND EDUCATION AS KEY RESULTS
Leading hospitals will continue to be the main centers for research and for the
education of new professionals, which means generating knowledge and
capabilities.
HOSPITAL OF THE FUTURE
KEY MESSAGE 9: RISK-SHARING MODELS INVOLVING ALL STAKEHOLDERS
Leading hospitals will develop new risk-sharing models with insurers, industry
and/or other providers.
HOSPITAL OF THE FUTURE
KEY MESSAGE 10: PROFESSIONALS IN HOSPITAL GOVERNANCE
Hospital professionals will actively participate in the strategy and leadership of
the organization.
HOSPITAL OF THE FUTURE
KEY MESSAGE 11: INTEGRATED CARE AND PROCESS-ORIENTED TEAMS
Leading hospitals will be organized into process-oriented teams and seek to
create integrated care models (either virtually or by merging companies).
HOSPITAL OF THE FUTURE
KEY MESSAGE 12: CONNECTED HOSPITALS
Improvement of the patient experience will lead to connected hospitals where
case managers will reach out to coordinate care for patients at home.
HOSPITAL OF THE FUTURE
KEY MESSAGE 13: NEW PROFESSIONAL ROLES
Leading hospitals will need health coaches, genetic counsellors, disease-
specific case managers, information management experts and “med-
engineers.
HOSPITAL OF THE FUTURE
KEY MESSAGE 14: PATIENT-CENTERED INNOVATION
Leading hospitals will systematically redesign the service experience with
innovation to become really patient-centered.