Seamless solutions for Seamless solutions for HospitalsHospitals

Tanya Znamenskaya Tanya Znamenskaya Microsoft Industry Manager Central EuropeMicrosoft Industry Manager Central Europe

Healthcare Worker Healthcare Worker ChallengesChallenges

Lots of manual administrative work: 30% Lots of manual administrative work: 30%

Inefficient collaborationInefficient collaboration

Disconnected islands of data Disconnected islands of data

Multiple devices and interfacesMultiple devices and interfaces

Loss of dataLoss of data

FatigueFatigue

Medical Errors!!!Medical Errors!!!

Medication Mgmt– Medical Errors Are an Medication Mgmt– Medical Errors Are an IssueIssueMedication Mgmt– Medical Errors Are an Medication Mgmt– Medical Errors Are an IssueIssue

Germany: 50.000 death Germany: 50.000 death due to medication due to medication

interventioninterventionCzech:57% of hospitals Czech:57% of hospitals report medical errors, report medical errors, 45%unexpected death45%unexpected death

0,5% admitted patients die because of 0,5% admitted patients die because of iatrogenic damage (i.e. caused by iatrogenic damage (i.e. caused by

medical interventions); 50% is medical interventions); 50% is avoidable = 0,25% of admitted patients avoidable = 0,25% of admitted patients

die because of avoidable mistakes– die because of avoidable mistakes– Harvard University studyHarvard University study

Italy there are at Italy there are at least 14.000 persons least 14.000 persons who die every year who die every year because of adverse because of adverse

eventsevents

UK: 40.000 people UK: 40.000 people annually are dying annually are dying

from the wrong from the wrong diagnosis– diagnosis– British British

Medical JournalMedical Journal

Ensuring

continuity:

Prevention

diagnosis

treatment,

follow up

Microsoft Vision: ICT for Person-Centered Health Microsoft Vision: ICT for Person-Centered Health systemssystemsImproving access, quality and efficiency for everyoneImproving access, quality and efficiency for everyone

Connecting all

the

points of care:

Hospitals

Physicians-GPs

Pharmacies

laboratories

Homes

DOCTOR

PHARMACY

HOSPITAL

LABS

HOME

IT systems can reduce as much as 75 percent of serious medical errors

ShareSharePoint Point SiteSite

Typical (or ideal ?)Hospital ScenarioTypical (or ideal ?)Hospital ScenarioInfo Info

AccessAccess

InfoPathInfoPath

Information Information CreationCreation

DataDataWarehouseWarehouse

Integration hubIntegration hubBizTalk serverBizTalk server With shared With shared

servicesservices

HL7 CDA XMLHL7 CDA XML

HL7 CDA XMLHL7 CDA XML

HL7 HL7 CDA CDA XMLXML

X Ray,

Surgery

X ray

Remote HospitalDoctor’ office Nurse

Doctor’s home

HL7 CDA XMLHL7 CDA XML

HMS

HL7 CDA XMLHL7 CDA XML

Ingolstadt Trauma CentreIngolstadt Trauma Centre

Customer Profile:Customer Profile:Ingolstadt Hospital is a medical center with Ingolstadt Hospital is a medical center with 1,100 beds that serves a catchment area in 1,100 beds that serves a catchment area in the centerthe center25,000 emergency patients each year25,000 emergency patients each year20 concurrent patient treated in the 20 concurrent patient treated in the emergency wardemergency ward

Business SituationBusiness Situation Staff at Ingolstadt Hospital’s emergency Staff at Ingolstadt Hospital’s emergency

ward manually collected and submitted ward manually collected and submitted patient data to hospital systems. Handling patient data to hospital systems. Handling paper forms and repetitive data entry took paper forms and repetitive data entry took time away from treating patients and time away from treating patients and impeded efficient communication between impeded efficient communication between hospital staff resulting in increased wait hospital staff resulting in increased wait times for patients. times for patients.

SolutionSolution Windows XP Tablet PC, InfoPath, SharePoint Windows XP Tablet PC, InfoPath, SharePoint

Portal. Portal.

eHealth Interoperability platform: eHealth Interoperability platform: Askelpios HospitalAskelpios Hospital Cooperation with Intel Cooperation with Intel

and Microsoftand Microsoft Integration of Smart Integration of Smart

Card with EPRCard with EPR GP using admission GP using admission

portal to access portal to access patient examination patient examination resultsresults

Using common Using common infrastructure AD infrastructure AD services and securityservices and security

Integration with Integration with “Functional Divisions” “Functional Divisions”

http://www.asklepios.com/http://www.asklepios.com/FutureHospital/Mediathek/FutureHospital/Mediathek/ShowroomShowroom

CHF Business FrameworkCHF Business FrameworkA Business Pattern for HealthcareA Business Pattern for Healthcare

•Patient Component•Professional Access History Component•Patients’ Events Component•Patient Consents Component•Health Subject Component•Care Pathways Component•Appointments Component•GP & Hospital Systems Access Component•Clinical Processes Component•Groups & Teams Component•Professionals Component•Permissions

Connected Health Framework

10

A Stable Foundation for Agile HealthcareA Stable Foundation for Agile HealthcareCommunications

Operations Management

Security

Connected Health Services Hub

Collaboration Services

Identity Management Services

Privacy and Security Services

Service Publication and Location

Data Services

Communication Services

System Management Services

User Processes

Data Access LogicComponents

use

Databases

Business Processesuse

use

Business Components

Integration Services

Service Interface Components

Presentation and Point of Access Services

Shared Services

S T A B L E

A G I L E.  Torrevieja Salud

CHF :Valencia Hospital CHF :Valencia Hospital

Customer Profile: 250 beds, 11 OP theaters, Customer Profile: 250 beds, 11 OP theaters, 22 surgical beds22 surgical beds

Problem: No communication between Problem: No communication between Hospital departments, lots of paper workHospital departments, lots of paper work

Solution Florence: handles all clinical and Solution Florence: handles all clinical and administrative functionsadministrative functions

Fully operational in 2 years, 22 peopleFully operational in 2 years, 22 people Costs: approximately $600.000Costs: approximately $600.000 MS Products: SQL Server, Exchange, MS MS Products: SQL Server, Exchange, MS

Dynamics NAV, BizTalk, HL7 Adapter, Spare Dynamics NAV, BizTalk, HL7 Adapter, Spare Point, Net FrameworkPoint, Net Framework

Azzixy: Washington Hospital CentreAzzixy: Washington Hospital Centre Customer ProfileCustomer Profile

- - largest teaching hospital with 250.000 patients annuallylargest teaching hospital with 250.000 patients annually

ProblemProblem- 300 isolated data islands in different formats- 300 isolated data islands in different formats

SolutionSolution - 11 000 data records- 11 000 data records

-- Real-time Repository for electronic medical records Real-time Repository for electronic medical records- collects and stores data from all medical systems (images, video etc)- collects and stores data from all medical systems (images, video etc)- 50 TBD online data per hospital growing 4 TBD annually- 50 TBD online data per hospital growing 4 TBD annually- 0,2 sec- 0,2 sec

- customized view on a patient (cardiology, neurology etc, specific)- customized view on a patient (cardiology, neurology etc, specific)

BenefitsBenefits - 3 mil annual savings in a single department with manual - 3 mil annual savings in a single department with manual

process automationprocess automation

- 13 months of implementation and development- 13 months of implementation and development

Cardiologist

Mr. Smith

View Patient Census

The doctor pulls up her personalized user view that she has set up based on how she likes to treat patients. She first clicks on the cardiology patient census to pull up a complete patient list. She clicks on the patient, Mr. Smith.

Cardiologist

View All Recent

Diagnoses

She then uses her personal view to pull up all of Mr. Smith’s pertinent health info organized how she likes to view patient information with the following customized columns of information to view on Mr. Smith.

Name, Age, Sex, Past Medical History, All ICD9 or CPT diagnoses, Chief Complaint, Physiologic data, LVEF, Cardiac Echocardiogram images, Angiography images, Nuclear Medicine Images, All Radiology images, Stress test results, All Medications, All Labs.

All historical data is kept in Azyxxi and never archived. It is always available for the clinician to view

at any time.

Cardiologist

Cardiology Scenario

Showcase

One click to see full screen

Thumbnail view to

peruse EKGs

Insight Clinical ViewInsight Clinical ViewAll Lab results

Insight Clinical ViewInsight Clinical ViewAll Medications

April 16th, BerlinEMEA Health Partner Conference

Microsoft NHS UK CUI program.Microsoft NHS UK CUI program.Design Guide Focus AreasDesign Guide Focus Areas

Information Display Information Display StandardsStandards

Information Input StandardsInformation Input Standards Abbreviations and Abbreviations and

AcronymsAcronyms TerminologyTerminology Decision and Knowledge Decision and Knowledge

SupportSupport Ordering and SchedulingOrdering and Scheduling Patient AdministrationPatient Administration Patient Record ViewsPatient Record Views

ReportsReports Noting and AssessmentNoting and Assessment Structured Planning of CareStructured Planning of Care Consistent Navigation Consistent Navigation

ModelModel AccessibilityAccessibility Agent to Agent Agent to Agent

CommunicationCommunication Medications ManagementMedications Management Generic / MiscellaneousGeneric / Miscellaneous

Over 110 areas of Design Guidance across the following categories:

Clinical Application - Demonstrator Clinical Application - Demonstrator

Demonstrator & Design Guidance Demonstrator & Design Guidance

Microsoft Dynamics Business Solutions: Microsoft Dynamics Business Solutions: How to measure hospital efficiencyHow to measure hospital efficiency

Financial managementFinancial management including specific including specific

legislation for legislation for healthcarehealthcare

ControllingControlling Asset managementAsset management Invoicing, receivables Invoicing, receivables

and health insuarance and health insuarance Payables and purchasing Payables and purchasing

managementmanagement Internal requests, order Internal requests, order

forms and approval forms and approval processesprocesses

Pharmacy (internal & Pharmacy (internal & commercial)commercial)

Catering (incl. electronic Catering (incl. electronic orders)orders)

Increased security of Increased security of informationinformation

Hospital Information systemsHospital Information systems

Clinical information systems Enterprise resource planning

Czech Republic:Czech Republic:Nemocnice Na HomolceNemocnice Na Homolce controlling – management of the hospital „by one controlling – management of the hospital „by one

number“ – flexible matrix of key performance number“ – flexible matrix of key performance indicatorsindicators

Easy reporting: # of admissions, # of interventions, Easy reporting: # of admissions, # of interventions, # of days treatments, average length, breakdown of # of days treatments, average length, breakdown of the main diagnoses, mortality, referrals, type of the main diagnoses, mortality, referrals, type of admissions, bed occupancy, average length of admissions, bed occupancy, average length of treatmentstreatments

„„the doctors should treat, not be administrative the doctors should treat, not be administrative forces“forces“

ROI achieved during one yearROI achieved during one year: 36% surplus: 36% surplus Previously: 95% time on data preparation, Now 5% Previously: 95% time on data preparation, Now 5%

on data preparation, the rest on analysis and on data preparation, the rest on analysis and decision processesdecision processes

Profitability 2005 a 2004Profitability 2005 a 2004

Oddělení 2005 2004 rozdíl Oddělení 2005 2004 rozdíl

44 NM 66% 52% 14 34 Kožní -17% -1% -1651 Lékárna 33% 34% -1 2 KCH -19% -22% 342 KMAS 20% 45% -25 36 Alergologie -21% -14% -743 RDG 16% 28% -12 23 ORL -24% -29% 512 OSRN 9% 32% -23 25 Interna -25% -22% -3

1 CCH 8% 14% -6 22 GYN -27% -15% -1241 OKBH 6% 4% 2 29 Veleslavín -33% -62% 29

5 Kardiologie 6% 17% -11 39 Záv.lékař -41% -32% -945 Patologie 3% 4% -1 31 REH - odd. -43% -53% 1026 ARO 3% 15% -12 31 R-centrum -47% -50% 315 Neurologie -6% -15% 9 32 Dětské -52% -49% -338 Psychiatrie -6% -7% 1 37 Děts.Alerg. -53% -48% -527 Dialýza -7% 1% -824 Oční -7% -5% -211 NCH -8% -4% -4 NNH 4,5% 2,3% 2,233 Stomatologie -11% -32% 2121 Chirurgie -12% -5% -7

Rep

orti

ng

Čerpání SZM a Léků Přehled I. Q. 2002k 31. 3. 2002

doporučené čerpání 100 %

I.Q. 2002 SZMk

31.3. 2002

LÉKYk

31.3. 2002

dop.čerpání rozpočtu - skutečnost

NS

ROZPOČET

Z TOHO SZM

Z TOHO LÉKY

v tis.Kč v.č.DPH v % v tis.Kč v % v tis.Kč

CELKEM 35 551 8 985 2 139 9 048 101% 1 961 92% 115

01 Cévní chirurgie 01 3 753 946 494 998 105% 499 101% -56

odděl.A 01 11 278 17 69 14 82% 59 86% 13

odděl.B 01 12 211 9 16 4 47% 24 150% -3

JIP 2.p. 01 21 1 056 156 206 124 80% 211 103% 26

JIP 5.p. 01 22 500 64 111 53 83% 121 109% 1

SIP 01 30 326 43 78 29 68% 72 93% 19

ambulance 01 40 76 3 3 2 48% 1 36% 3

sál 01 50 1 307 654 12 771 118% 10 80% -115

05 Kardiologie 05 6 232 4 301 229 4 270 99% 239 105% 21

oddělení 05 10 333 13 34 12 88% 41 120% -5

JIP kor.jedn 05 21 422 23 44 25 107% 73 165% -30

AAJ 05 22 222 12 21 13 112% 27 131% -8

ambulance 05 40 281 4 1 1 34% 1 50% 3

kardiost.sál 05 51 3 327 3 027 7 3 073 102% 6 96% -45

angiosálek 05 52 1 645 1 222 122 1 146 94% 92 75% 106

11 Neurochirurgie 11 2 756 642 328 884 138% 264 81% -178

odd. A 11 11 239 10 14 11 114% 14 101% -2

PLÁN

Položkově sledovaná spotřeba zdravotnického mat.NS kat čdodlistu Datum čmat názevmat MJ cenaMJ množství cena

121 L51 68739 2.7.2002 11397 Sherwood 8884-711295 sonda kangaro ks 416 10 4 165

121 L51 68733 1.7.2002 166 3m 1626W Tegaderm 10,0x12,0 průhledná folie ks 956 2 1 912

121 L51 68733 1.7.2002 382 Náplast netkaný textil 10cmx10m bal 111 3 332

121 L51 68733 1.7.2002 2913 Ureofix 500 ks 287 10 2 866

121 L51 68733 1.7.2002 4352 Taky-spike ks 24 95 2 247

121 L51 68733 1.7.2002 5521 Braun 4097076 uzávěr se závitem verschlusskonus ks 2 1 000 1 730

121 L51 68733 1.7.2002 12094 Hoyer 55-70445-00 edith flex ks 2 106 4 8 424

121 L51 68733 1.7.2002 12354 Hoyer 55-70701-00 filter hmef-1000 ks 3 780 1 3 780

121 L51 68733 1.7.2002 18407 Braun 5522340 Drainobag 300 hadic.123cm závit ks 64 30 1 918

121 L51 68734 1.7.2002 2235 Inkontin.podložka 60x90 bal 872 2 1 745

121 L51 68734 1.7.2002 2330 Gaza kompresy 10 x 10 cm, nesterilní ks 79 40 3 171

121 L51 68734 1.7.2002 3422 Katetr standardní odsávací ks 9 800 6 824

121 L51 68734 1.7.2002 3440 Rukavice vysetrovaci jednor. nepropustné ks 2 3 000 5 820

121 L51 68734 1.7.2002 3676 Strikacka 50ml ks 13 200 2 506

121 L51 68734 1.7.2002 3739 Polštáře valapor pod hlavu 158 945 4 bal 331 5 1 656

121 L51 68734 1.7.2002 13758 3m R1541 náplast. stehy 6x75 ks 401 1 401

121 L51 68734 1.7.2002 16943 Panep 01002 vata buničitá příř.15x20/500g ks 29 24 687

121 L51 68734 1.7.2002 17898 Johnson P55251 Surgipad 10x12cm sterilní 25x20ksks 4 805 0 384

121 L51 68874 4.7.2002 1651 Hadicka lekarska 606804 8/12 50m kg 298 2 597

121 L51 68874 4.7.2002 1666 Podlozka lozni pvc 83x130 cm ks 17 60 1 022

121 L51 68874 4.7.2002 1669 Souprava transfuzní ts203 ks 14 300 4 131

121 L51 68874 4.7.2002 2379 Portex 100/580/015 thermovet 600 ks 89 40 3 579

121 L51 68874 4.7.2002 2913 Ureofix 500 ks 287 10 2 866

121 L51 68874 4.7.2002 14694 Naplast transpore průhledná perfor. 2,5 cmx9,1m ks 27 24 657

121 L51 68874 4.7.2002 19008 A.m.i 19502 Humid-Vent Filter Small rovný ks 78 20 1 555

121 L51 68999 10.7.2002 1810 Jehla inj. jednorázová 0,50x25mm oranžová NN-2525Rks 1 3 000 1 620

121 L51 68999 10.7.2002 2175 Jehla inj. jednorázová 1,20x40mm růzová NN-1838Rks 1 3 000 1 710

121 L51 68999 10.7.2002 2184 Obinadlo esmarch ks 48 5 240

121 L51 68999 10.7.2002 2235 Inkontin.podložka 60x90 bal 872 2 1 745

121 L51 68999 10.7.2002 2330 Gaza kompresy 10 x 10 cm, nesterilní ks 79 40 3 171

121 L51 68999 10.7.2002 2333 Manzeta pro dospele ks 341 1 341

121 L51 68999 10.7.2002 3440 Rukavice vysetrovaci jednor. nepropustné ks 2 3 000 5 820

Unikátní rodná čísla PŘEHLED OŠETŘENÍ III.Q.2001(k 31.8.2001)

SRPEN od začátku Q

NSKumulace

2000 1.8.-31.8.

Kumulace 2001

1.8.-31.8.

Index 2000/2001

kumulace 2000

1.7. - 31.8.

kumulace 2001

1.7. - 31.8.

Index 2000/2001

866 93 1,06 214 2 285 1,0796 11 1,05 212 233 1,10

Cévní chirurgie 01ambulance 44 45 1,03 112 115 1,02hospitalizace 17 19 1,14 41 43 1,05

Kardiologie 05ambulance 19 99 0,91 249 26 1,05hospitalizace 20 2 1,03 47 53 1,12

Neurochirurgie 11ambulance 35 46 1,33 87 19 1,25hospitalizace 17 16 0,92 36 37 1,05

OSRN 12ambulance 11 13 1,21 26 30 1,15hospitalizace 5 7 1,36 10 15 1,58

Neurologie 15ambulance 42 39 0,93 129 135 1,05hospitalizace 6 5 0,84 16 15 0,96

Chirurgie 21ambulance 95 78 0,82 251 223 0,89hospitalizace 1 9 0,88 23 25 1,09

Gynekologie 22ambulance 84 82 0,97 212 215 1,02hospitalizace 11 12 1,08 21 24 1,10

ORL 23ambulance 69 74 1,07 186 200 1,07

celkem - ambulance celkem - hospitalizace

OD - OŠETROVACÍ DNY POROVNÁNÍ OD - rok 2001 / rok 2000(k 31.8.2001)

od začátku roku od začátku Q poslední dekáda

NSKumulace

2001 1.1.-31.8.

Kumulace 2000

1.1.-31.8.

Index 2001/200

0

kumulace 2001

1.7. - 31.8.

kumulace 2000

1.7. - 31.8.

Index 2001/2000

2001

21.8. - 31.8.

2000

21.8. -31.8.

Index 2001/2000

7 049 6 730 1,05 1 515 1 448 1,05 288 293 0,98Cévní chirurgie 01 1 421 1 389 1,02 302 297 1,02 63 65 0,97

odd.A 0111 492 488 1,01 100 100 1,00 20 21 0,95odd.B 0112 415 407 1,02 91 84 1,09 20 20 0,99JIP 2.p. 0121 155 149 1,04 36 37 0,98 7 8 0,96JIP 4.p. 0122 89 83 1,07 16 14 1,15 5 5 0,98SIP 0130 269 261 1,03 58 62 0,95 11 12 0,95

Kardiologie 05 1 134 1 060 1,07 254 242 1,05 34 43 0,78odd. 0510 692 608 1,14 150 132 1,14 21 27 0,76JIP kor.jedn. 0521 195 208 0,94 44 53 0,83 2 9 0,26AAJ 0522 247 244 1,01 59 57 1,05 10 6 1,60

Neurochirurgie 11 1 438 1 424 1,01 303 293 1,03 55 64 0,86odd.A 1111 448 448 1,00 86 95 0,91 15 22 0,72odd.B 1112 484 485 1,00 100 90 1,11 19 20 0,95JIP 1120 204 195 1,05 47 40 1,18 9 10 0,90SIP 1130 301 297 1,01 70 68 1,02 13 13 0,96

OSRN 12 109 94 1,16 23 19 1,21 3 4 0,88odd. 1210 109 94 1,16 23 19 1,21 3 4 0,88

Neurologie 15 593 591 1,00 121 140 0,86 24 27 0,89odd. 1510 479 475 1,01 91 112 0,81 21 21 1,01JIP 1520 114 116 0,98 30 28 1,06 3 6 0,50

Chirurgie 21 676 616 1,10 150 118 1,27 27 23 1,18odd. 2110 551 508 1,09 118 92 1,28 21 18 1,16

celkem

BEST OF VÝKONY Cévní chirurgie - 01

výkony body výkony body výkony body

Ns KOD NÁZEV

1 00602 Od typu 02 - pro nemocnice typu 3, (kategorie 6) 2 515 2 012 000 2 736 2 188 800 575 460 0001 00651 Tiss (á 28 000 b.) 539 14 889 875 437 12 072 125 120 3 315 0001 00652 Tiss (á 24 000 b.) 446 10 536 750 385 9 095 625 91 2 149 8751 00653 Tiss (á 20 000 b.) 782 15 346 750 709 13 914 125 153 3 002 6251 00655 Tiss (á 10 000 b.) 191 1 785 468 444 4 150 512 212 1 981 7761 00657 Tiss (á 5 000 b.) 92 449 328 90 439 560 26 126 9841 00658 Tiss (á 4 000 b.) 324 1 193 616 343 1 263 612 79 291 0361 12021 Komplexní vyšetření angiologem 835 306 445 711 260 937 197 72 2991 12022 Cíleně zaměřené vyšetření angiologem 2 431 457 028 2 595 487 860 590 110 9201 12220 Dopplerovské vyšetření periferních tepen nebo žil (na jedné končetině) 1 804 196 636 1 736 189 224 374 40 7661 54120 Aneurysma břišní aorty /náhrada bifurkační protézou/ neboruptura břišní aorty 30 330 840 30 330 840 5 55 1401 54130 Aneurysma břišní aorty infrarenální nebo aneurysma viscerálních tepen nebo aortoilická rekonstrukce nebo aortorenální rekonstrukce43 434 386 21 212 142 8 80 8161 54170 Profundoplastika 61 273 463 65 291 395 29 130 0071 54190 Ostatní rekonstrukce tepen a by-passy 102 674 220 118 779 980 34 224 7401 54310 Aortoilický úsek - endarterektomie 18 144 648 11 88 396 2 16 0721 54320 Endarterektomie karotická a ostatních periferních tepen 135 741 960 149 818 904 38 208 8481 54325 Aortoilická embolektomie nebo trombektomie bifurkace - nepřímá 23 101 706 24 106 128 5 22 1101 54340 Tepenná embolektomie, trombektomie 60 211 920 82 289 624 25 88 3001 55220 Jednoduchý výkon na srdci - primooperace 75 2 394 600 89 2 841 592 19 606 6321 55230 Kombinovaný chirurgický výkon na srdci a hrudní aortě - primooperace 4 164 224 1 41 056 1 41 0561 78240 Analgezie kontinuální epidurální ev. kontinuální intravenozní - 1 den 339 150 177 271 120 053 73 32 339

celkem vybrané 52 796 040 49 982 490 13 057 341

celkem 53 703 316 50 863 932 13 277 141

% celem vybrané / celkem 98% 98% 98%

body připadající na 1 vykázaný TISS kód 18 619 17 000 15 958

celkem TISS bodů 2 374 44 201 787 2 408 40 935 559 681 10 867 296

% podíl TISS bodů na celkové produkci 82% 80% 82%

IIIQ01IIQ01IQ01

1

Popis I 02 II 02 III 02 IV 02 V 02 VI 02 VII 02 I.Q 02 II.Q 02 III.Q 02Spotřeba materiálu 5 344 719 5 330 586 5 930 734 5 660 674 6 438 345 4 709 575 5 342 881 16 606 039 16 808 595 5 342 881léky 700 512 981 310 1 076 768 1 196 548 1 147 720 873 365 1 176 682 2 758 590 3 217 633 1 176 682léky ZULP 552 024 702 749 548 354 900 849 892 979 647 497 913 864 1 803 127 2 441 325 913 864krev 192 671 705 779 463 701 1 095 459 783 349 517 254 736 111 1 362 151 2 396 062 736 111SZM 1 149 712 642 499 962 295 792 882 1 066 883 780 665 870 553 2 754 507 2 640 430 870 553ZUM 345 893 391 101 521 702 193 375 396 054 337 926 266 253 1 258 697 927 356 266 253nástroje 25 382 14 282 53 213 15 086 70 150 39 070 52 583 92 877 124 306 52 583ZUM 1 Sety k mim. oběhu 358 715 318 082 444 263 0 0 0 0 1 121 060 0 0ZUM 2 Stent - Graft, Chlopně 733 987 298 593 522 321 286 682 736 114 290 349 120 463 1 554 901 1 313 145 120 463ZUM 3 Cévní protézy - zahraniční 461 445 373 469 464 231 337 194 582 593 334 562 416 787 1 299 145 1 254 349 416 787ZUM 4 Cévní protézy - VÚP Brno 127 621 183 303 222 876 48 336 93 911 97 692 105 746 533 799 239 939 105 746ZUM 5 fogarty embolekt. katetry 102 629 153 943 34 210 114 000 136 838 91 162 102 629 290 782 342 001 102 629zdrav. materiál selektovaný 7 069 7 448 2 171 19 542 1 000 6 640 3 280 16 689 27 182 3 280DPH k SZM 187 052 137 061 184 725 115 213 176 283 119 518 116 722 508 838 411 014 116 722ostatní materiál 400 005 420 967 429 904 545 507 354 470 573 876 461 208 1 250 876 1 473 853 461 208mimořádný materiál 0 0 0 0 0 0 0 0 0 0Energie 35 948 182 822 145 655 163 537 124 296 110 350 105 512 364 425 398 183 105 512Spotřeba zboží 0 0 0 0 0 0 0 0 0 0Údržba 48 194 160 625 101 359 109 930 78 967 128 506 140 825 310 178 317 402 140 825údržba zdravotnické techniky 2 300 55 674 40 212 16 131 19 927 36 395 22 443 98 185 72 453 22 443údržba SW, HW 42 064 62 554 39 604 51 174 29 754 52 034 29 754 144 222 132 962 29 754ostatní údržba 3 830 42 398 7 733 42 625 29 285 40 077 88 629 53 961 111 987 88 629údržba mimořádná 0 0 13 810 0 0 0 0 13 810 0 0Cestovné 5 459 4 237 90 365 6 126 9 088 209 657 237 232 100 061 224 871 237 232Repre 0 0 0 0 0 0 0 0 0 0Telefon 49 782 67 807 63 367 72 114 76 995 77 752 69 579 180 956 226 861 69 579Školení, kurzy 18 734 3 970 14 404 9 180 12 250 10 712 2 550 37 108 32 142 2 550Praní, úklid 216 259 353 244 359 732 341 022 350 696 331 115 312 409 929 235 1 022 833 312 409dodavatel. praní prádla 216 259 235 732 241 951 222 901 231 937 211 362 193 410 693 941 666 200 193 410dodavatel. úklid 0 117 512 117 782 118 121 118 759 119 753 119 000 235 294 356 633 119 000

Služby 10 100 241 574 191 100 83 386 1 741 2 380 12 012 442 774 87 507 12 012leasing auta, zdrav. tech. 0 0 0 0 0 0 0 0 0 0leasing SW, HW 0 0 0 0 0 0 0 0 0 0ostatní služby 10 100 241 574 191 100 83 386 1 741 2 380 12 012 442 774 87 507 12 012mimořádné služby 0 0 0 0 0 0 0 0 0 0Mzdové náklady 3 696 794 3 851 844 4 175 184 4 064 100 5 282 226 3 943 149 4 550 715 11 723 823 13 289 475 4 550 715hrubé mzdy - ostatní 1 763 279 1 935 008 2 219 304 2 177 326 2 903 346 2 185 685 2 338 608 5 917 591 7 266 357 2 338 608hrubé mzdy - lékaři 784 656 826 812 871 508 819 715 925 544 731 610 1 028 457 2 482 976 2 476 869 1 028 457zdrav. a soc. pojištění 1 148 859 1 090 024 1 084 372 1 067 059 1 453 336 1 025 854 1 183 650 3 323 256 3 546 249 1 183 650Ost. soc. náklady, FKSP 25 503 27 763 27 769 25 104 22 124 20 733 16 269 81 034 67 961 16 269

Ostatní provozní náklady 39 408 142 548 124 661 92 775 69 817 82 387 72 460 306 617 244 979 72 460Odpisy 828 363 857 788 829 355 813 343 717 983 724 345 715 618 2 515 506 2 255 671 715 618Odpisy běžné 655 564 684 956 664 371 643 428 548 210 554 359 545 631 2 004 891 1 745 997 545 631Odpisy budov 172 799 172 832 164 984 169 915 169 773 169 986 169 987 510 615 509 674 169 987Vnitr. náklady 15 927 10 780 11 318 19 691 9 829 16 253 4 135 38 025 45 773 4 135Výnosy lékařské 100 0 3 973 0 42 000 0 468 4 073 42 000 468výnosy ZP 0 0 0 0 0 0 0 0 0 0***rozpuštěné výnosy ZP 0 0 0 0 0 0 0 0 0 0komerční výnosy 100 0 3 973 0 42 000 0 468 4 073 42 000 468Ostatní výnosy -1 085 4 342 4 148 0 0 9 567 0 7 405 9 567 0ostatní služby -1 085 4 342 4 148 0 0 9 567 0 7 405 9 567 0tržby za prodej zboží 0 0 0 0 0 0 0 0 0 0Úroky, kurzové zisky 0 0 0 0 0 0 0 0 0 0Mimořádné výnosy 0 0 0 500 0 0 0 0 500 0Tržby z prodeje IM a materiálu 0 0 0 0 0 0 0 0 0 0Vnitropod. výnosy 0 0 0 0 0 0 0 0 0 0

Výnosy celkem -985 4 342 8 121 500 42 000 9 567 468 11 478 52 067 468Náklady celkem 10 335 189 11 235 589 12 065 003 11 460 981 13 194 357 10 366 914 11 582 197 33 635 780 35 022 252 11 582 197

Náklady rozpočtované 10 335 189 11 235 589 12 051 193 11 460 981 13 194 357 10 366 914 11 582 197 33 621 970 35 022 252 11 582 197Mimořádné náklady 0 0 13 810 0 0 0 0 13 810 0 0

Výnosy bez * -985 4 342 8 121 500 42 000 9 567 468 11 478 52 067 468Náklady bez # 10 335 189 11 235 589 12 065 003 11 460 981 13 194 357 10 366 914 11 582 197 33 635 780 35 022 252 11 582 197

Souhrnný přehled čerpání v průběhu II. Q. 2002(náklady, ZUM, hodnota bodu, komerční výnosy)

ZDRAVOTNÍ ČÁST

2002rozpočt. náklady (tis.Kč)

skutečné náklady (tis.Kč)

čerpání rozpočtu

plán body (v tis.)

body (v tis.)

plnění plán ZUM ZUM plněníbod plán

(Kč)bod (Kč)

bod/ bod plán

komerční výnosy (tis.Kč)

komerční výnosy (tis.Kč)

rozdíl (tis.Kč)

NAZEV NS VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 02 VII.+VIII. 00 VII.+VIII. 02 02-00

Cévní chirurgie 1 2 464 2 231 91% 3 333 2 981 89% 584 777 133% 0,56 0,49 86% 2 16 129

Kardiologie 5 4 069 3 997 98% 1 906 2 015 106% 3 261 3 465 106% 0,42 0,26 62% 46 11 -309

Neurochirurgie 11 1 811 1 889 104% 2 258 2 466 109% 222 386 174% 0,70 0,61 87% 41 28 -119

OSRN 12 319 279 88% 483 697 144% 11 4 34% 0,64 0,40 62% 78 1 -693

Neurologie 15 578 575 99% 695 710 102% 20 27 137% 0,80 0,77 96% 32 22 -97

Chirurgie 21 990 953 96% 586 581 99% 323 308 95% 1,14 1,11 97% 74 36 -335

Gynekologie 22 387 407 105% 227 221 97% 140 134 96% 1,09 1,24 114% 28 30 15

ORL 23 314 314 100% 265 286 108% 9 16 180% 1,15 1,04 91% 23 21 -17

Oční 24 98 78 79% 49 52 105% 0 0 - 2,01 1,52 76% 4 3 -10

Interna 25 711 753 106% 510 556 109% 31 55 178% 1,33 1,26 94% 78 60 -158

ARO 26 1 471 1 613 110% 1 756 2 101 120% 50 100 199% 0,81 0,72 89% 40 15 -223

Hemodialýza 27 487 529 109% 480 504 105% 5 4 77% 1,00 1,04 104% 3 6 27

Rehabilitace 3140 197 203 103% 104 105 101% 0 0 - 1,90 1,93 102% 22 18 -29

Dětské 32 121 120 100% 37 35 95% 0 0 83% 3,30 3,47 105% 40 28 -104

Kožní 34 25 30 122% 21 20 95% 0 0 - 1,20 1,54 128% 5 4 -10

Home Care 35 11 11 92% 1 2 274% 0 0 - 20,03 6,75 34% 0 0 0

Alergologie 36 18 15 82% 6 3 54% 1 4 591% 2,81 3,29 117% 13 0 -117

Dětská alergologie 37 55 52 95% 28 22 78% 5 3 60% 1,80 2,29 127% 1 1 -3

Psychiatrie 38 17 17 100% 7 8 107% 0 0 - 2,50 2,32 93% 0 0 -1

Závodní lékařka 39 15 13 92% 9 8 87% 0 0 - 1,62 1,71 105% 0 0 3

OKBHI 41 1 318 1 393 106% 1 337 1 286 96% 10 6 60% 0,98 1,08 110% 96 30 -595

KMAS 42 300 325 108% 509 542 107% 0 0 - 0,59 0,60 102% 10 9 -17

RDG 43 1 487 1 492 100% 1 544 1 654 107% 566 530 94% 0,60 0,58 98% 123 41 -735

Nukleární medicina 44 992 787 79% 869 934 107% 562 479 85% 0,49 0,33 67% 4 7 27

Patologie 45 116 115 99% 115 124 108% 0 0 - 1,01 0,93 92% 1 1 1

Operační sály 46 72 92 128% 0 0 - 0 0 - 0,00 - - 0 0 -1

Služby komplementu 46 48 52 108% 0 0 - 0 0 - 0,00 - - 0 0 -3

Sterilizace 53 353 362 102% 0 0 - 0 0 - 0,00 - - 0 0 4

Součet zdravotní část 18 846 18 700 99% 16 083 16 803 104% 5 294 5 869 111% 0,84 0,76 91% 763 389 -3 371

Součet komerční 645 582 90% 0 0 - 15 17 111% 0,00 - - 1 508 1 673 1 490

Součet správní 3 850 3 408 89% 0 0 - 0 0 - 0,00 - - 422 678 2 306

Zdravotní + správní část 22 696 22 108 97% 16 083 16 803 104% 5 294 5 869 111% 1,08 0,97 89% 1 185 1 067 -1 066

NNH celkem 23 341 22 691 97% 16 083 16 803 104% 5 309 5 885 111% 1,08 0,97 89% 2 693 2 740 424

DAILY, TEN-DAILY DAILY, TEN-DAILY AND MONTHLY REPORTSAND MONTHLY REPORTS

Rep

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ng

Budget Items Budget Items

Cost, commercial Cost, commercial revenue (SU, AU)revenue (SU, AU)

Goal – achieve the Goal – achieve the specified bottom specified bottom lineline

Bu

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Budget – Budget – APPROVEDAPPROVEDB

ud

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ng

Intervention Costing – Dept. of Internal Medicine

Inte

rven

tion

Cos

t

Material Cost TrackingMaterial Cost TrackingR

epor

tin

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Supplier Analysis – Price & QuantitySupplier Analysis – Price & Quantity

Počet bodů celkem na jednoho lékařeZdroj dat: ÚZIS, ČR

0

500000

1000000

1500000

2000000

2500000

3000000

3500000

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VFNPraha 2

FN Motol FNVinohrady

FN Hradec FN Brno FNsPOstrava

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BenchmarkingBenchmarkingR

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Deliverables to seamless Deliverables to seamless health health CHF Reference templates for CHF Reference templates for

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