Sint Maartenskliniekdrs. Peter Hoppener

CEO

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Background Peter Hoppener

• Business-economist Erasmus University Rotterdam

• AKZO Nobel, healthcare division in various countries

• SCA Mölnlycke Healthcare in NL • Randstad Staffing / labourmarket• Altrecht Mental Health Care (2004-

2008)• Sint Maartenskliniek Group (2008-now)

Dutch Healthcare system

Healthcare Insurance system

Hospital market

DBC financing system

Founded in 1936 in Nijmegen by RC sisters

Fire in 1990

1999: New hospital Nijmegen

2005: Second location in Woerden

2010: orthopedic clinic in Mill

Brief history

Profile concern• orthopaedics, rheumatology, rehabilitation

• 50.000 patients a year

• > 50% supraregional; topreferential position

• Research & development department

• 85 medical specialists/agio’s, 100% employed

• 1700 employees

• Turn over € 135 million concern

• Yearly growth 5-10 %

• Biggest growth between 2005-2008

Orthopaedic centre

• Operation rooms: 6 + 3 (+ 3)• Super-specialisation: knee, hip,

spine, shoulder/upper extremities, foot & ankle

• Top innovation and top-care• Connected to various university

hospitals

• teaching: 4-6 interns, 10-12 residents for orthopaedic training, 1-2 fellows.

• Rotations with affiliated university and general hospital.

• Training period general surgery (elsewhere) 2 yr, orthopaedic training 4 yr.

• Recently modernization of training program according to the CanMed system including digital portfolio.

• Esska Teaching Centre with fellows for 1 months selected by Esska.

• Research efforts orthopaedic department: 105 peer reviewed papers in last 4 years.

 

Teaching and research efforts

Production 2008 super specializations in Nijmegen

Super specialization Conservative treatments

Surgical treat-ments

Sint Maartenskliniek Nijmegen Total

Knee 3.268 2.155 5.423

Upper extremities 2.610 1.319 3.929

Foot & ankle 2.712 1.085 3.797

Hip 2.618 991 3.609

Back 5.169 647 5.816

General orthopaedics 3.226 603 3.819

Total 19.603 6.800 26.403

Approx 1000 THP and 1000 TKP

Core strategy

We specialize in solving problems regarding movement and stature. We have a clear vision and we have the courage to excel and innovate by partnering with our patients, use strategic alliances and grow our organization.

Innovation

Partnering

Growth

• Integrated care• Innovation• Tele-care and e-health • Shorter duration of stay

• Satisfied patients• Interactive communication w patients• Better accessibility• Patient-organizations• Insurance companies

• Covering the Netherlands• Also parts of Germany and Belgium• Growth of marketshare with 10%• Growth of profitibility

Strategic development

Managing the organisation

Quality and safety

ICT

Internal goals

Challenges to share

• Top-clinical reputation draws big groups of patients to our hospitals– Long waiting times– Expensive care

• Doctors are employed with fixed salary– Good for many things, but bad for

productivity• What unique offer to patients?• Vulnerability as specialised hospital• Financing innovation?• Improve financial performance