Health Care Clínic Corporation Hospital Clínic University of Barcelona.
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Transcript of Health Care Clínic Corporation Hospital Clínic University of Barcelona.
Health Care Clínic Corporation Hospital Clínic University of Barcelona
Emergencies-Operating RoomsAnesthesia-UASP-Pharmacy
Institut ofGynecologyObstetrics &Neonatology
Institut of ThoraxDiseases
Institut ofDigestive & Metabolic
Diseases
Institut of Neurosciences
Medical Direction Institut of Hematology& Oncology
Institut ofMedical & Surgical
Specialities
Institut ofNephrology & Urology
Center of Biomedical Diagnosis Center of Diagnosis by the Image
Institut of Internal Medicine& Dermatology
Emergencies-Operating RoomsAnesthesia-UASP-Pharmacy
Institute ofGynecologyObstetrics &Neonatology
Institute of ThoraxDiseases
Institute ofDigestive & Metabolic
Diseases
Institute of Neurosciences
Medical Direction Institute of Hematology& Oncology
Institute ofMedical & Surgical
Specialities
Institute ofNephrology & Urology
Center for Biomedical Diagnosis Center for Imaging Diagnosis
Institute of Internal Medicine& Dermatology
Hospital Organization1996
Institute of Ophtalmology
Increasing the efficiency of hospital organization
Wards ICU Day Care DiagnosticUnits
Pro
cess
Unit
s
Refe
ren
ce p
hysi
cian
Instituts
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
Fragmented healthcare systems
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.
Hospital vs Territorial HealthcareP
roce
ss U
nit
s
HOSPITAL Community Care
Familiyphysician
Nurse
Socialworker
Home care
Transplant
CHF
COPD
Dementia
TerritorialHealthcare
TerritorialHealthcare
THE BASELINE SITUATION IN BARCELONA:
Territory and Providers
EAPs ICS
EAPs CAPSE
EAP Gesclínic
EAP Les Hortes
EAPs Vallplasa
Hospital Clínic
Hospital Sagrat Cor
Clínica Plató
CAP II Manso (ICS)
CAP II Numància (ICS)
EAPs ICS
EAPs CAPSE
EAP Gesclínic
EAP Les Hortes
EAPs Vallplasa
Hospital Clínic
Hospital Sagrat Cor
Clínica Plató
CAP II Manso (ICS)
CAP II Numància (ICS)
EAPs ICS
EAPs CAPSE
EAP Gesclínic
EAP Les Hortes
EAPs Vallplasa
Hospital Clínic
Hospital Sagrat Cor
Clínica Plató
CAP II Manso (ICS)
CAP II Numància (ICS)3D
3G
3A
2A
2C
4A
2D
2E
4B
5C4C
3E
5D
3C
3B
2B
5A
5B
5E
3D
3G
3A
2A
2C
4A
2D
2E
4B
5C4C
3E
5D
3C
3B
2B
5A
5B
5E
• 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
BARCELONA ESQUERRA
Permanent Comission
TechnicalManagement
Team
TechnicalManagement
Team
Process 1
Process 2
Process 3
Process 4
Em
erg
en
cie
s Socia
l C
are
Healt
h
Tra
nsp
ort
H
om
e C
are
P
ed
iatr
ic
care
P
harm
acy
Redesign Implementation
& follow-up
M
en
tal
healt
h
IT
Operational Committees
Territorial Health Care Comission Barcelona Esquerra
Territorial Health Care Comission Barcelona Esquerra
Sp
ecia
lize
d C
are
Institutions representative
Adaptation of health services to chronic patients (shared care arrangements across the system)
Patient
Consultant
Relatives & Care givers
PrimaryCareTeam
Mobile teams
Emergency team Case
Manager
Home
Primary Care
Hospital
Emergencies-Operating RoomsAnesthesia-UASP-Pharmacy
Institut ofGynecologyObstetrics &Neonatology
Institut of ThoraxDiseases
Institut ofDigestive & Metabolic
Diseases
Institut of Neurosciences
Medical Direction Institut of Hematology& Oncology
Institut ofMedical & Surgical
Specialities
Institut ofNephrology & Urology
Center of Biomedical Diagnosis Center of Diagnosis by the Image
Institut of Internal Medicine& Dermatology
Benchmarking among the top hospitals in Spain
Complexity 1,1625
Mean stay 0,8877
Ambulatory surgery 1,2000
Mortality 0,7770
Morbidity 0,9789
Readmissions 0,9824
Since 2001 Hospital Clinichas been ranked among the four best hospitals in Spain regarding health outcomes, efficiency, and productivity.
Ranking of aggregate specialties
Hospital Clínic, Barcelona 107,9 11/13Hospital Vall d’Hebron, Barcelona 83,5 12/13Hospital La Paz, Madrid 71,4 8/13Hospital Doce de Octubre, Madrid 67,9 8/13Clínica Universitaria, Navarra 46,1 5/13Hospital Sant Pau, Barcelona 39,0 7/13 Hospital Ramón y Cajal, Madrid 35,4 7/13Hospital La Fe, Valencia 31,4 7/13Hospital Gregorio Marañón, Madrid 26,2 3/13Hospital de Bellvitge, L’Hospitalet 20,9 6/13Hospital Puerta de Hierro, Madrid 15,6 4/13Hospital Marqués de Valdecilla, Santander 9,0 2/13
Reputation Index Nº Special.
The top 10 hospitals selected for physicians to be trained in Spain (2001-2011)
1. Hospital Clínic, Barcelona
2. Hospital Gregorio Marañon, Madrid
3. Hospital la Paz, Madrid
4. Hospital 12 de Octubre, Madrid
5. Hospital La Fe, Valencia
6. Hospital Valle de Hebron, Barcelona
7. Hospital Virgen del Rocío, Sevilla
8. Hospital de Cruces, Baracaldo
9. Hospital de Bellvitge, L’Hospitalet
10. Hospital Miguel Servet, Zaragoza
1. Hospital Clínic, Barcelona
2. Hospital Gregorio Marañon, Madrid
3. Hospital la Paz, Madrid
4. Hospital 12 de Octubre, Madrid
5. Hospital La Fe, Valencia
6. Hospital Valle de Hebron, Barcelona
7. Hospital Virgen del Rocío, Sevilla
8. Hospital de Cruces, Baracaldo
9. Hospital de Bellvitge, L’Hospitalet
10. Hospital Miguel Servet, Zaragoza 16/03/2011
Fuente:Fuente:
Research & Innovation
RESEARCH: Integrating high quality clinical
research with high level basic
research.
Biomedical Research
Institute of Barcelona belonging to High Counsel of Scientific Research
(Central Government) (IIBB-CSIC)
University of Barcelona
Clínic Hospital Barcelona
Generalitat de Cataluña
(Catalonia Governement)
Members of IDIBAPS Consortium Associate Centre
Support :Clínic Foundation
Research Centers
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).
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).
Research Support Services
Hospital Documents citations C / D
H. Clinic de Barcelona 4.250 53.074 12,49
H. Vall d’Hebron , Barcelona 2.208 26.395 11,95
H. Santa Creu i Sant Pau, Barcelona 1.818 18.939 10,42
H. Ramón y Cajal Madrid 1.726 15.632 9,06
H. 12 de Octubre , Madrid 1.713 17.166 10,02
H. La Paz , Madrid 1.678 10.861 6,47
H. De Bellvitge , Barcelona 1.362 13.699 10,06
H. Del Mar , Barcelona 1.305 20.627 15,81
H. La Fe , Valencia 1.194 10.418 8,73
H. Gregorio Marañon , Madrid 1.170 9.607 8,21
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.
Hospital Clinic leads the Spanish ranking in terms of scientific impact Hospital Clinic leads the Spanish ranking in terms of scientific impact Top ten hospitals in SpainTop ten hospitals in Spain
Hospital Clínic is ranked among the first 25 best hospitals in the world regarding scientific production.
0306090
120150180210240270300330
HOSPITAL CLINIC - CLINICAL TRIALS
HCB is the leading Hospital in Spain in Clinical Trials
Clinical Trials reviewed by Hospital Clinic IRB
1. USA,
2. Germany,
3. France,
4. Canada,
5. UK
6. Spain
7. Italy
18
| +34 93 227 [email protected]
Technology Transfer & Biz Development Unit (2007-June 2013)Technology Transfer & Biz Development Unit (2007-June 2013)
Activity IndicatorsIdeas Assessment Protection Negotiation (VC, industry) Tech Transfer / Spin-off
Translational Research Focus
163 Agreements:
Including MTA, licenses,
alliances & collaborations
54 Active Patent Families10 Registered Software
4 Spin-offs
389Ideas
ROADMAPROADMAP
The 4 P’s of Medicine:PredictivePersonalizedPreventiveParticipatory
Use of technology
Evolved Integrated Care Services
Evolved Integrated Care Services
Personal ized Health ServicesPersonal ized
Health Services
SystemMedicineSystem
Medicine
2011
2020
We should develop the potential to be at the forefront of healthcare delivery innovation by embracing the evolution of medicine and technology
Fira de BarcelonaMay 21th -22th , 2014Fira de BarcelonaMay 21th -22th , 2014
Organizer: The City of Barcelona. Chair: Dr. JM Piqué, Managing Director Hospital Clínic
QS World University Rankings 2011 - Faculty RankingsLife Sciences & Medicine
EUROPE
1. Cambridge (2)2. Oxford (3)3. Imperial College (11)4. Karolinska(22)5. Edimburgh (23)6. King’s College (25)7. Zurich Technol (30)8. Heildelberg (38)9. Manchester (43)10. South Wales (48)11. Copenhagen (52)12. Uppsala (55)13. Glasgow (56)14. Zurich (61)15. Leuven (62)16. Berlin-Humboldt (65)
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)
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
Challenges in health careChallenges 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
Working Lines in Innovation
Project & Business Development
Health Technology Assessment
Technology Integration and Health care Efficiency
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.
Projects & Business Development
R&D HCB : Projects initiated by hospitalAlliances : Projects initiated by industry
2 2 4 4
22 20
2
52
41
11
47
2720
39
1721
1
37
13816
90
3120
39
0
20
40
60
80
100
2005 2006 2007 2008 2009 2010 YTD LE
Naturaleza de los Proyectos Analizados
Total R&D HCB Aliances MTA2011
Projects with industry
Telemedicine 2007 /2010
Neuroscience 2009
Start – up companies
Medical Devices 2009Medical Devices 2009
Immunology 2010Immunology 2010
Integrated care at HCB2000 2002 2004 2006 2008 2010 2012
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
Long tradition in leading Chronic care/telemedicine projects in the EU Long tradition in leading Chronic care/telemedicine projects in the EU
