Pierre yves biomnis presentation national healthcare conference 24th march 2011
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Transcript of Pierre yves biomnis presentation national healthcare conference 24th march 2011
The Biomnis Group
Réunion mensuelle DSC - BIOMNIS 15/09/2009
National Healthcare ConferenceBurlington Hotel, March 24th 2011
Pierre-Yves Guiavarch, President & CEOSimon Chipperfield, International Director
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Agenda
Overview of The Biomnis Group
Reforming the Healthcare System Pathology Reform in France – Consolidation at a
Crossroads
Biomnis in Ireland
International Trends in Pathology
www.biomnis.com
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I. Overview of the Biomnis Group (history)
1897 … 1976 1994 1996 1998 1999 2000 2001 2003 2004 2005 2007
1897Foundation of the « LMM » in Lyon,
by Marcel Merieux (associate of Louis Pasteur)
1994LMM is detached from the
Marcel Merieux Foundation but remains under its umbrella
2000Acquisition of LCL
(Paris)
2001Acquisition of
« Bioffice » (Bordeaux)
2004 ISO 9001
certification of TSE
…
1999Acquisition of Claymon
Lab (Ireland)Acquisition of OpenLab
(IT)
2006
1998Acquisition of TSE (logistics)
2008
2008Merger of LMM &
LCLCreation of
« BIOMNIS »Creation of CBM 69
& CEF
1997
24/10/2008Acquisition of
Biomnis by DS (private equity)
www.biomnis.com
1994-1996Acquisition of
« LACB » (Grenoble)Acquisition of
« LABS » (Nice)Acquisition of the
Pasteur Institute of Lyon
1998The Marcel Merieux
Foundation sells out the LMM (but retains a 23% shareholding)
Dr. JL Oger becomes CEO and acquires a 75% shareholding of the LMM
4www.biomnis.com
I. Overview of the Biomnis Group
The Biomnis Group:
• Dedicated to Clinical Pathology since 1897• 10m+ tests per annum
• Expertise in all fields of Clinical Pathology (ISO 15189 accredited)• 2,500 in-house assays
• Medically and scientifically led• 60+ consultant pathologists and over 1600 employees
• International reach• 50+ countries referring tests• Subsidiaries in Ireland and the UK
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Core activity
• Specialised cold laboratory testing services, in all fields of Clinical Pathology:
o Pre-analysis phase
=> temperature controlled logistics of biological samples
o Analysis phase
=> test menu composed of 2,500 assays (in house)
o Post-analysis phase
=> expert consultant led advisory support, data transmission, sample storage
www.biomnis.com
I. Overview of the Biomnis Group
6www.biomnis.com
Lyon
500 staff including 35 expert Pathologists 10 000 m² 10 000 patient requisitions / day => 18 000 tests
/ day
I. Overview of the Biomnis Group
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I. Overview of the Biomnis Group
Mycobacteria Department
8www.biomnis.com
Paris
400 staff including 20 expert pathologists 6000 m² 10 000 patient requisitions /day => 18 000
tests / day
I. Overview of the Biomnis Group
9Haematology
I. Overview of the Biomnis Group
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Other activities :
• Full management of Hospital based clinical laboratories –• 10 hospital locations – 1000+ beds – supported by 4 labs• Point of Care Testing, Hot Labs and specialist referrals
• Walk in patient Primary Care Laboratories - « Town Labs »• Paris, Lyon and Bordeaux regions
• Forensic genetic testing• Specialist service for French Police
• Temperature controlled logistics of biological samples• 500+ vehicles in own specialist medical logistics service
across France & Ireland
www.biomnis.com
I. Overview of the Biomnis Group
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Logistics
• « TSE express medical »o 25 hubso 4 regional platformso 500 staff
www.biomnis.com
I. Overview of the Biomnis Group
Regional hubs
Local hubs
Central hubs
Head quarters
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• Regulatory environment for pathology laboratories in France established since 1975:• Only Clinical Pathologists are allowed to run a laboratory
• Hold a minimum of 75% of the voting rights
• Restricted rules for operating a laboratory
• Limited Geographic scope, minimum headcount, specific equipment, minimum surface area and requirement to perform 60% of tests on site
• Other Features:• 40%+ of clinical pathology performed by private sector
• Price regulation via a National Tariff structure
• 2 main private specialist referral test laboratories – Biomnis and Cerba
• c.4000 Town Laboratories – fragmented and relatively expensive
2. Pathology Reform in France – At a Crossroads
www.biomnis.com
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• Restrictive environment put under scrutiny following 2 major reports – IGAS Report (2006) and Ballereau Report (2008)
• Key findings from IGAS:• Inappropriateness of current regulations for opening a new laboratory and protection
of clinical pathologist from any competition
• Dysfunctional influence of the price regulation system
• Reform should focus on high quality level at optimised cost
• Mandatory accreditation of all laboratories
• Thorough review of tariff nomenclature
• Necessity to create larger players and platforms
• Ballereau report required reform around 3 key axes:• Reaffirmation of the medical characteristic of clinical pathology
• Systematic and mandatory accreditation system to improve quality
• Cancellation of restrictions on laboratory shareholding structure
• Target savings for next 5 years (2.5 to 3.5% per annum)
2. Pathology Reform in France – At a Crossroads
www.biomnis.com
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• HPST law (or “Bachelot Law”) incorporating clinical pathology reform passed 15 January 2010:• Clinical pathology is a medical act – clinical pathologist has to be responsible for the
entire testing process
• Reduced regulation relating to laboratory operations
• All laboratories required to obtain ISO 15189 by 2016 at the latest
• Initially committed to opening the laboratories shareholding structure but postponed after clinical pathologists’ lobbying
• Since the Bachelot Law:• Price reductions implemented
• Rebates from specialist laboratories to Town Laboratories have been suppressed
• Rebates to Public Hospitals (for up to 50% of the standard tariff) are being cancelled over 3 year period
• Private sector has rapidly started to consolidate in the Town Labs sector
• Combination of laboratories into regional clusters with hub and spoke model - 1 major lab technical platform and multiple collection centres
2. Pathology Reform in France – At a Crossroads
www.biomnis.com
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• However…..
• Recent ECJ Ruling on shareholding structures
• French National Assembly vote to repeal Ballereau Ordonnance
• In spite of this fresh uncertainty part-way through a major reform programme, the market will continue to consolidate to achieve:• Larger higher volume regional laboratory platforms
• Mandatory quality and accreditation standards
• Better value for money
• Whilst ensuring that clinical pathology remains a medically delivered service for the benefit of the patients
2. Pathology Reform in France – At a Crossroads
www.biomnis.com
16www.biomnis.com
1.5 million tests/year
>100 staff members, 4 pathologists
ISO 15189 accreditation
Logistics service dedicated to the collection and
temperature controlled transportation of samples
•HSE hospitals
•Private hospitals/clinics
•Clinical trials/pharma
All clinical pathology
disciplines, and gynae cytology
•Public service departments: Semi-state companies
•Corporate clients
Occupational health and
lifestyle screening
Drugs of abuse
testing
• Irish Prisons Service
• « Methadone maintenance » clinics
3. Biomnis in Ireland
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3. Biomnis in Ireland
• €3m investment in Biomnis Ireland in late 2010• Acquisition of Euromedic Lablink• Extension of test repertoire in Dublin Laboratory• Phase 1 technology transfer from France
• 30% increase in Test Menu
• Celebrating 20 years in business in Ireland in 2011
• 20 new technical & scientific employees in 2010 – 70% graduates
• Phase 2 technology transfer in 2011
• Collaboration with Third-Level Institutes
• Establishment of JVs with public sector partners
www.biomnis.com
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4. International Trends in Pathology
> 70% of diagnostic decisions based on a lab test
Lab test results are the major contributor to patient records
65 year olds account for x6-9 more lab tests per head
It is estimated that pathology testing in US will increase c.90% by 2017
In countries with ageing populations, there will be considerable pressure on Diagnostic Laboratory services due to ageing populations
and an increasing reliance on pathology diagnostics
www.biomnis.com
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4. International Trends in Pathology
• Use of Lean Six Sigma method to improve efficiencies in pathology
laboratory operations
• Greater use of automation and larger technical platforms
• ICT integration into public health networks
• Use of mobile devices
• Higher volumes and lower prices
• Market consolidation across the private sector in Europe and USA
• Outsourcing and extensive use of the private sector as a partner with the
public sector
• Potential Global shortages of scientific staff
• Standardisation of accreditation standard to ISO 15189
• Development of genetic companion diagnostics and personalised medicine
www.biomnis.com
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Conclusion
• Population demographics and medical advances will drive demand on already stretched services
• Staff shortages in medical science disciplines will drive need to change working practices
• Automation and scaling of technical platforms can enable volume to be delivered at lower cost
• We can learn from a number of international experiences and models already delivering rapid, high quality results that help clinicians diagnose, treat and monitor patient illnesses and diseases
www.biomnis.com