Michael Jacobs, MD, PhD Maastricht, the Netherlands ...
Transcript of Michael Jacobs, MD, PhD Maastricht, the Netherlands ...
Michael Jacobs, MD, PhD
Maastricht, the Netherlands:
� Professor and Chairman department of Surgery,
Maastricht University Medical Center
�Director Cardiovascular Center
Aachen, Germany:
� Professor and Chairman department of Vascular
Surgery, University Hospital Aachen, Germany
TREATY OF MAASTRICHT 1992: start of EU
Maastricht University
• Young (1976)
• 16.000 students, 4400 medical
• International: 51% foreign students
Cardiovascular Research Institute Maastricht (CARIM)
• Annual budget 30 Mio $
• Researchers 196 fte
• Technical staff 77 fte
• Principal Invest 27
• Departments 13
• Scientific papers 557
• PhD thesis (2012) 43
• Patents (2012) 4
715 beds
in numbers
4400 students
450.000 patients
€ 700 mio.turn over50 companies
7700 employees
• Cardiovascular center of excellence: integration CV specialties
• Integration basic research and patient care
• Scientific and clinical leadership in the Netherlands, top 10 in Europe
• Superspecialization in selected cardiovascular niches: number 1 in EU
• European cardiovascular training center
• Strong partnership with technical universities en medical industry
2002-2013: TARGETS
• 2002 Start Cardiovascular Center and integration
of cardiology, cardiac surgery, vascular
surgery vascular neurology, vascular medicine and
phlebology
• 2006 Integration CVC clinic and CARIM
• 2011 Start Lean Six Sigma
• 2012 (October) Opening new, integrated outpatient clinic (2500 sqm)
• 2012 (November) Opening hybrid operating room
• 2013 Launch CVC “Center of Excellence”
• 2013 Start EM-TRAC
• 2015 Opening new EM-TRAC building
• 2016 Opening 3 new hybrid operating rooms
Short History and future steps
CARDIOLOGY
CARDIAC
SURGERY
VASCULAR
SURGERY
VASCULAR
MEDICINE
VASCULAR
NEUROLOGY
INTERVENT
RADIOLOGY
PHLEBOLOGY
Cardiology
Cardiac
Surgery
Vascular
Surgery
Vascular
Medicine
Vascular
Neurology
Phlebology
Maastricht Cardiovascular Center
Next step: Integration CV Clinic and CV Research
�Atrial fibrillation
�Ventricular tachycardia & sudden
cardiac death
�Electrical management of heart failure
�Heart failure preserved ejection
fraction
�Non-ischemic cardiomyopathies
Cardiac Arrhythmias and FailureThrombosis
�Atherothrombosis
�Recurrent venous thromboembolism
and post-thrombotic syndrome (PTS)
�Novel targets and drugs
Vascular Diseases
�Aortic diseases
�Venous disorders
�Vascular cognitive impairment
�Hypertension
CVC Maastricht – Specialties en cross connections
Maastricht Study - Cardiovascular Metabolics
�Metabolic syndrome
�Diabetes
�CV risk management (prevention)
Diagnostics and Techniques
�Cardiovascular genetics
�Cardiovascular imaging, including non invasive and biomolecular imaging
�Cardiovascular systems biology
�Minimal invasive and robot assisted techniques
540 fte
120 mio $ turn over
DIA
GN
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DIA
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DIA
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DIA
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TECHNOLOGY FOUNDATION
TECHNOLOGY FOUNDATION
DIA
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DIA
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TECHNOLOGY FOUNDATION
DIA
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TECHNOLOGY FOUNDATION
DIA
GN
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TECHNOLOGY FOUNDATION
DIA
GN
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TECHNOLOGY FOUNDATION
DIA
GN
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IS
TECHNOLOGY FOUNDATION
DIA
GN
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TECHNOLOGY FOUNDATION
DIA
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TECHNOLOGY FOUNDATION
TECHNOLOGY FOUNDATION
DIA
GN
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Klinikum
Aachen
Maastricht
Health
Campus
Medtronic Medtronic
Maastricht
Health
Campus
Klinikum
Aachen
University
Eindhoven
University
Eindhoven
TECHNOLOGY FOUNDATION
DIA
GN
OS
IS
Klinikum
Aachen
Maastricht
Health
Campus
Medtronic Medtronic
Maastricht
Health
Campus
Klinikum
Aachen
University
Eindhoven
University
Eindhoven
70.000 patients
New CV outpatient clinic
• 2500 square meters
• All cardiovascular specialists
• All non-invasive diagnostics
• CVC pathways
• “one-stop-shop”
• 70.000 patients per year
• 100.000 visits per year
Strategic ambitions were not
driven by excellent
operational processes
Objectives of operational excellence to
support our European ambition
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 organization
40
Lean Sigmatraining &
deployment
MDT run performance
projects
Hospital run performance
projects
Program Mgmt Office
Operational Excellence program
• Optimization outpatient clinic
• Optimization 5 CVC pathways
• Optimization design new OR complex
• Optimization cathlab & neuroinventory
• 3 Black belts
• 45 green belts
• 1000 yellow belts
• 19 champions
• 25 Lean Executives
41 projects coached by Medtronic
• 3 Length of stay• 2 scrap reduction• 17 process improv.• 8 patient experience• 7 employee
satisfaction• 4 quality & compliance
Investment for MUMC: € 580k
• MDT consulting : € 150k
• MDT LS training : € 80k
• MDT PMO: € 100k
• Internal staff: € 250k
MUMC savings (YTD): € 4,500k
• MDT run projects : € 2,200k
• Hospital run projects : € 2,300k
Intangible benefits **
• Staff engagement & built-in change capability
• Performance improvement culture instilled
• Quality, clinical outcome & patient experience improved**
MUMC business case
** Metrics in development
MUMC Management
Excellency and Transparency in Cardiovascular outcomes
Development of Integrated Cardiovascular Care pathways for the major cardiovascular diseases: optimizing the patient journey,
Enhanced access to highly specialized Cardiovascular Care
Re-investments of the achieved cost savings into Cardiovascular Clinical Research
Re-distributing the Maastricht UMC Cardiovascular Expertise in Europe. Medical Professional Skills-building Training and Education
“Cornerstones” center of excellence
• “Established” research center CARIM
• CVC with international top activities (rhythm, aorta, heart failure)
• Full integration wit CARIM
• Unique multidisciplinary outpatient clinic
• New OR complex with 3 hybrid OR’s
• New European CV training center (2013-2016)
• Partnership medical industry: operational excellence
• European Vascular Course as education platform
• Partnership with city and province
Our motto for MUMC CVC is
EVERY DAY BETTER
THAN YESTERDAY
European Medical Training Center
• New building
• 3000 square meters
• Training center for cardiovascular specialists
and employees medical industries
• 6000-8000 trainees per year
• Lean Transformation program for CVC
Cath-lab operations experts and benchmarking
Cardio vascular care pathways
Industrial planning en scheduling
Status: 1000 Lean Sigma yellow belts trained
70 green and 5 black belts
Status: $6 million savings already achieved
• Risk sharing
No-Cure No-Pay based contract
Fair market value and best pricing for Medtronic
medical devices
• R&D opportunities
Priority access to Medtronic clinical trials
Components of the partnership between CVC and Medtronic
Medtronic provides to CVC:
• Opportunity for Medtronic to create healthcare value
beyond medical devices
Adding new value elements to the current Medtronic
business model
• High quality clinical research and faster access to market
for new Medtronic therapies
• Long term volume commitment: purchase of Medtronic
medical devices
• Cardiovascular skills lab and Medical Training facility
3000 medical professionals per year to be trained in CVC
to the highest standard (cardiovascular)
• Access to the expertise of the best of the best doctors
Components of the partnership between CVC and Medtronic
CVC provides to Medtronic: