Sint Maartenskliniek drs. Peter Hoppener CEO E:\cityscreen45sec.wmv

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 ( ) 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 : New hospital Nijmegen 2005: Second location in Woerden 2010: orthopedic clinic in Mill Brief history

Profile concern orthopaedics, rheumatology, rehabilitation patients a year > 50% supraregional; topreferential position Research & development department 85 medical specialists/agios, 100% employed 1700 employees Turn over 135 million concern Yearly growth 5-10 % Biggest growth between

Orthopaedic centre Operation rooms: (+ 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, 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 Upper extremities Foot & ankle Hip Back General orthopaedics Total 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