BG University Hospital Bergmannsheil Bochum Best Opportunities for Research, Clinical Trials & Innovative Treatment and Technology
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1 BG University Hospital Bergmannsheil Bochum Best Opportunities for Research, Clinical Trials & Innovative Treatment and Technology T.A. Schildhauer Medical Director Professor and Chairman Department of General and Trauma Surgery
2 How can new Medical Technologies be introduced and established in German Hospitals and the German Health Care System?
3 Interconnection / interplay between various involved institutions Understanding of the German Health Care System Role of and options at BG University Hospital Bergmannsheil Bochum
4 Interplay of Institutions Applications (e.g.: HAL robot suit): patient treatment + rehab working / support tool training / recreation tool research tool:! man-machine interface! size / comfort / requirements EU Cert! market search Patients / Volunteers: variability in diagnosis / application meaningful numbers educated / consenting patients + volunteers
5 Interplay of Institutions Academic Environment: study protocols ethics committee facility! study implementation / realization! system / technical adjustment personnel (scientist, clinician, physioth.) publication (oral, print) access / outreach Access to Financing: study (industry, independent-scientific) patient treatment (insurance) private / sport / recreational activities
6 Interplay of Institutions Development & Manufacturing: facilities! research facility! manufacturing/commercial facility cooperations & partners! academic (university, specialty labs)! industrial! political
7 Interplay of Institutions University Insurance Industry Applications Patients, Volunteers Academic Environment Access to Financing Development, Manufacturing Politician Research Funds
8 German Health Insurance System BG-Insurance System / Workmenship Compensation General Health Care System
9 BG-Insurance System (Berufsgenossenschaftliches Versicherungssystem) Insurance/Coverage: all work related injuries, diseases: research: acute medical care permanent medical care rehabilitation (medical, occupational/industrial) re-imbursement / pension basic + clinical (work related injuries, diseases, rehab) injury prevention occupational health
10 BG-Insurance System best possible treatment to get patient back to work to minimize posttraumatic reduction in working/earning capacity aim for newest / most effective treatment techniques / technologies
11 General Health Care System insurance covers medical treatment and rehabilitation but is not responsible for: permanent health impairment occupational rehabilitation re-imbursement / pension aim to treat / heal patient up to: generally accepted standard of care at lowest acceptable costs
12 General Health Care System insurance covers medical treatment and rehabilitation but is not responsible for: permanent health impairment occupational rehabilitation re-imbursement / pension aim to treat / heal patient up to: generally accepted standard of care at lowest acceptable costs
13 BG Insurance KUV (Union of BG-Hospitals) 9 trauma centers (2 x in NRW) 2 hospitals for work related diseases 2 ambulatory care facilities
14 KUV 2011 beds: inhospital patients: length of stay: days outpatient visits: emergency room visits: operations: outpatient operations: medical expert reports: turnover exposure: capital expenditures: employees: med.doctors: nursing staff: rehab staff: 1.164
15 BG University Hospital Bergmannsheil " 1890 founded as first trauma center worldwide " 1976 University Hospital of the Medical Faculty at the Ruhr- University Bochum " Affiliated Research Institutions:! IPA - Institute for Injury Prevention and Occupational Medicine; Ruhr- University Bochum ( 130 empl.; 9 mill turnover)! Institute / Department of Pathology; Ruhr-University Bochum (largest German pathol. department; 7-8 mill turnover) " Affiliated Care Center (Institute for Prosthetics & Orthotics) (30 empl.; 5 mill turnover)
16 BG University Hospital Bergmannsheil " 22 departments and specialty clinics with 622 beds (plus two trauma departments in external university hospitals (Münster, Cologne) and one rehabilitation facility (Gelsenkirchen) for BG-insured patients) " Patients in 2011! inpatients: ! outpatients: " employees in 2011! medical doctors: 265 largest + oldest of all BG-institutions only university within BG! nursing staff: 867
17 Bergmannsheil 2000 plus recent new constructions: Institute of Pathology (2004) Supply & Waste Managem. Center (2005) Inpatient / Wards Building (2006/2007) Enlargement IPA (2009)
18 Bergmannsheil 2000 plus recent new constructions: Core Building, start of construction: 2010 Central OR facility, 14 OR rooms, 2 outpatient OR rooms Central Sterilization Facility Center for Intensive Care Medicine Interdisciplinary Admittance Ward Dept of Radiology and Laboratory Med. Basic Research Laboratories (+ Clean Room)
19 Bergmannsheil 2020 recent new constructions: Center for Neurorobotic Training
20 Bergmannsheil Pathology Neurorobotic Research Core Building Maintenance & Service Inpatient Beds Administration Rehabilitation Inpatient Beds Service Center
21 Department of General & Trauma Surgery (Univ.-Prof. Dr. T.A. Schildhauer) Trauma & Reconstructive Surgery (131 beds) Osteomyelitis / Infection Service (42 beds) Visceral Surgery (20 beds; Prof. Dr. R. Viebahn) Neurotraumatology & Paraplegia Service (64 beds; Dr. R. Meindl/ PD Dr. B. Fischer) Intensive Care Unit Intermediate Care Unit Emergency Room Emergency Ambulance
22 Department of General & Trauma Surgery inpatients outpatients surgical operations 400 outpatient surgeries neurotrauma: 420 paraplegic / tetraplegic inpatients 1200 paraplegic / tetraplegic outpatients
23 Surgical Research Major reseach areas # Immunpathophysiology of severely injured patients # Prophylaxis of infection # New therapeutical methods of fracture healing # New resorbable and non resorbable biomaterials # Nanobiomaterials # Translational stem cell research # Biomechanics of surgical applications DFG and BMBF
24 Department of Neurology (Univ.-Prof. Dr. M. Tegenthoff) Neurology Service (50 beds) Neurologic Traumatology & Neuro-Rehab (12 beds) Stroke Unit Intensive Care Unit Intermediate Care Unit Center of Competence for Posttraumatic Psychiatric Disorders inpatients outpatients
25 Department of Neurology Selected Research Activities / Facilities: high end 3-Tesla MRT ir, RUB Imaging Center SFB 874 (National Special Research Division for DFG) Integration and Representation of Sensory Processes DFG Research Group for Muscle Research
26 Japan - Germany Research Exchange Technology Exchange Common Patient Studies Common Research Fund Application Ethics Committee Application / Approval Common Scientific Meetings Common Basis for CE Mark Approval New Treatment Center? Joint Venture
27 Coopera'on)of)Japanese)and) German)companies)and)research) ins'tu'ons)
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