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The Netherlands [email protected] Managing Director Siemens Groep in Nederland Summit for the future 27 januari 2005 Key figures the Netherlands Population 16,2 million age 00-19 20-64 65 > 1950 37,3 55,0 07,7 2003 24,5 61,8 13,7 2050 20,5% 54,2% 25,3% Health expenditure 12,6% of GDP (2004) Expenditure per capita 2002 euro 3255 2003 euro 3512 (+7,9%) 103 General hospital 8 Academic hospitals Siemens Groep in Nederland Summit for the future 27 januari 2005 Financing Health Care 2005 Cure somatic care Resources 56% Personal 40%AWBZ I General hospitals 16% Patiënt N S 35%ZFW 38%* Academic hospitals U R euro 44 miljard 14%Particular Categorical hospitals A N C C 5% General 3% Ov. Hotel kstn Recuparate homes E 6% Other 15% Deprecation 3% Facility 2% Food Mental care (8,1%) O M 5% Government P A Nursing care (22,3%) N Y * EXCL. MEDICATIONS Disabled care (11,5%) Bron Zorgnota Ministerie VWS Siemens Groep in Nederland Summit for the future 27 januari 2005 Trends From • Supply-driven • Working in isolation • Work pressure/filing • Impenetrable • Centralized control • Waiting list • Patient/insured party • Cure • Hospitalization • Budget-driven Siemens Groep in Nederland Summit for the future To Demand-driven Working in unison More time for the patient Transparent Decentralized control Guaranteed treatment Customer Care Remote treatment Results-driven 27 januari 2005 The Drive Cost Quality “Workflow in health care can and must be more efficient” Siemens Groep in Nederland Summit for the future 27 januari 2005 Workflow of patient is diffuse Siemens Groep in Nederland Summit for the future 27 januari 2005 Our challange Siemens Groep in Nederland Summit for the future 27 januari 2005 Change of healthcare proces Patient 4 Stay healthy Outcome Healthcare System Prevention Acute disease Birth Death Rehabilitation Senior care Care Management 3 Recovery Patientflow 2 Trauma Stroke Sick, injured Treatment Cardio in Disease Management MR X-Ray out EPR cured CT OP Bed Angio Intens. Workflow Management 1 Siemens Groep in Nederland Medical Interaction Places Summit for the future US ... MR XR, CT OP Integrated OP Uro, Gastro, ... Monitoring Therapy Beds Utilization Management 27 januari 2005 Integration clinical and operational proces Radiologie Diagnostisch Lab ECG OK, Oncologie, Cardiologie Registratie O&R Administratief Zorgpaden Therapeutisch Medisch Document Mgt Multi-disciplinair Medicatie Facturering Intensive Care Nazorg Revalidatie Zorg Siemens Groep in Nederland Summit for the future 27 januari 2005 Practice ….. Molecular Imaging Gentechnology Informatica Robotica Siemens Groep in Nederland Summit for the future 27 januari 2005 Siemens Groep in Nederland Summit for the future 27 januari 2005