VU University Medical Center

Transcription

1 VU University Medical Center Summary Annual Report 2013

2 This is a summary and translation of the 2013 Annual Report VU University Medical Center makes a new start (hereafter: 2013 Annual Report). In case of any discrepancy between this text and the full and original 2013 Annual Report, the latter takes precedence. No rights may be derived from the text of this summary.

3 Mission Vision VU University Medical Center (VUmc) stands for distinctive patient care, top-level scientific education and breakthrough research. VUmc is based on a Christian tradition, and combines a belief in personal treatment, integrity and respect with a healthy ambition and fundamental curiosity. VUmc aims to make people better and at the same time to improve itself and to contribute to tomorrow s medical knowledge. VU University Medical Center aims to make a significant contribution to the quality of health care, and with it the welfare of people. As university medical center, VUmc focuses on a leadership position in education and training, scientific research and patient care. VUmc is dedicated to caring for patients, those who are near and dear to them, referrers, students, professionals in training and research clients. VUmc aims to be regarded and recognized as an innovative, high-quality organization with an excellent reputation, a strong network and pleasure in what we do; an excellent center for education and research, with distinctive patient centers and a leadership position in patient logistics. VU University Medical Center is based on a Christian tradition, of which human values and treatment with respect are essential aspects. VUmc stands for sustainability, and has an eye for people and their environment. VUmc offers a challenging and ambitious intellectual and working climate, in which pleasure, respect, integrity and service are at the forefront. Summary Annual Report

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5 Introduction This summary of the 2013 Annual Report gives an overview of the efforts, the performance and results in 2013, the strategy of VUmc and its management and governance. Patient care A total of 27,457 patients were admitted to VUmc in 2013, there were 326,172 outpatient visits and 31,102 patients received Accident & Emergency treatment. The table below shows the output of VUmc in Outpatient visits Output data Admissions Total day nursing Nursingdays First outpatient visits Accident & Emergency patients VUmc considers it of great importance to know patients views on the health care provided. These have been measured at teaching hospitals on a nationwide basis since Patients were asked to give their opinions in 2013 using the Consumer Quality Index (CQ index). This research shows that patients rate the quality of care at VUmc highly, with scores of 7.95 for hospital admissions and 8.22 for out-patient visits. In 2013 VUmc set itself the goal of improving transparency in the quality of care. Among the initiatives taken, in addition to nationwide investigations, was to adopt the Net Promotor Score (NPS). The Hospital Standardized Mortality Ratio (HSMR) is one of the tools used to measure the quality and safety of care. This is an indicator that shows the standardized mortality rate for hospital, and takes into account the patient mix of the hospital. The HSMR for VUmc was 96, which means that VUmc had a lower mortality rate than would be expected on the basis of the national average. The average HSMR for all hospitals is 100. Pieter ten Brink is chairman of the Patient Participation Council The relationship between patient and professional is key The Patient Participation Council represents the viewpoint of patients and visitors at VU University Medical Center. We have short lines of communication with the Board of Directors, and are guided by developments in the care process of which they are advised by the departments. We work together on practical matters such as signing and the provision of information, or the accessibility for people using rollators or wheelchairs. Other questions relate to patient service and care, or on organizational or policy matters; accreditation is submitted to us, we take part in the safety inspections, give our views on the CQ index and are involved at an early stage in the overall planning of the new electronic patient records system. The fact that we are somewhat further removed from operational details sometimes gives us different insights. That can be very instructive, and helps to prevent tunnel vision. The key message? We want to create awareness of the relationship between patient and professional, in which both have their own responsibilities. Good communication is tremendously important. This is why we have drawn up ten tips as part of the Patient Safety Week to help patients be well prepared for visits to the doctor. We intend to present these in the form of a card in Summary Annual Report

6 Research As a knowledge center VUmc stands for distinctive translational scientific research. The research at VUmc is concentrated within five focal areas. The research in these five focal areas is assigned to five research institutes (see table below). Focal area Cancer and Immunology Research institute VUmc Cancer Center Amsterdam (CCA) This is shown primarily by the high average impact of the scientific publications. In 2013 VUmc took first place for the third year running among the Dutch University Medical Centers in the citation analysis of the Center for Science & Technology Studies (CWTS). The VUmc Mean Normalized Citation Score (MNCS) of 1.75 means that VUmc publications are cited 75% more frequently than the world average in the corresponding fields in which publications appear. Brain Heart and blood vessels Extra- and transmural Movement Neuroscience Campus Amsterdam (NCA) Institute for Cardiovascular Research (IcaR)-VU EMGO + Institute for Health & Care Research MOVE research institute Amsterdam The VUmc strategy of concentrating its research on five focal areas organized in research institutes appears to have contributed to the good performance of VUmc in scientific research, which has shown a clear further improvement in recent years. Publications MNCS Prof.dr. Yvette van Kooyk, professor of molecular cell biology and immunology, received the prestigious Advanced Grant from the European Research Council (ERC) in August This grant will allow me to develop a cancer vaccine The Advanced Grant is awarded personally to established scientists with an excellent track record working on relevant, unconventional and innovative research and dealing with breakthrough questions. This is the most prestigious European grant for individual researchers, which makes it a tremendous honor. The grant was awarded in August, and it was a real celebration with gifts, flowers and congratulations. I really feel I m recognized. I work on innovative fundamental research to find a vaccine to strengthen the immune response of cancer patients. Thanks to this grant I have a budget of 2.5 million euros for a period of five years, which will allow me to fund three PhD candidates, two postdocs and an analyst, as well as lab reagents. Best of all, we can now take the step to clinical work, and so we can really develop a cancer vaccine. We can also use the knowledge and experience that we gain through this work for research into a number of infectious diseases. That s what s so fascinating about immunology: once you know how it works, you can use if on a number of different fronts. 6 Summary Annual Report 2013

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9 The graph below shows the numbers of VUmc publications in recent years. In 2013 VUmc published 2,788 scientific publications; 195 more than in Scientific publications Education and training VU University Medical Center offers educational programs in the medical, biomedical, medical support and nursing areas. There were 2,381 students registered in 2013, of whom 347 were first-year Bachelor s students and 322 were first-year Master s students Scientific publications Detailed measured are made of the rating by students of all courses and educational programs. In 2013 the results were as follows: Students rate their satisfaction with the overall medical Bachelor s programs at an average of 7.2 Students rate their satisfaction with the overall medical Master s programs at an average of 7.8 Participants in the VUmc Amstel Academy rate their satisfaction at an average of 7.6 Participants in the VUmc Academy rate their satisfaction at an average of 8 Clients of the VUmc Academy rated the quality of the VUmc Academy in an (external) CEDEO quality assessment at 9.2 Prof.dr. Sonja Zweegman was named in 2013 as best Bachelor s lecturer. The Hematology and Oncology block was named as the best of the year. Education needs to be a celebration Our block has been among the prizewinners for years. I think that s mainly because we show that it s great to be a hematologist. As well as that we aim to make education a celebration, so students don t just listen, they also feel what it s like to be a doctor. Congratulations are due to all colleagues who structurally devote a lot of time to education, through which they ensure continuity. After the theory in the first year, we are one of the first to offer a complete clinical block in the second year. That has a strong emotional content, because it s about people with cancer who are fighting for their lives. We not only involve the students in the technical and financial aspects of oncological treatment, but we also deal with the emotions and the ethical dilemmas that you re faced with as a doctor. As well as that we take the students into the laboratory. That s how we create an incubator for talent, because we hope that some of the students will become so enthusiastic about scientific research that they decide they want to be the doctors who build link between the pure clinicians and the molecular biologists or chemists in the lab. And that translation is an essential part of what we do. Summary Annual Report

10 Staff VU University Medical Center invests in innovative HRM policy, particularly in relation to career development, mobility, competence management, job evaluation and support in reorganizations. A career center was established in It helps departments in possible reorganizations and supporting staff in finding other positions in case of (threatened) reorganizations. VUmc had a staff of 6,848 in Number of employees Number of employees Number of FTEs Monique Velder is management assistant in the Economics, Purchasing and Care Administration (BIZA) department. It s very enjoyable working here all part of the job. As well as that, VUmc is preparing for the merger with the AMC. I m not too concerned about that. I enjoy my work, and I try to keep everybody as happy as possible. If no-one complains it means I m doing my job well! I started working here 22 years ago as a member of the medical administration staff. VUmc is a very good employer. I ve had plenty of freedom to develop myself, and I ve always been able to develop my skills. There are always new challenges, I have a good knowledge of the organization and great colleagues. That combination makes it a really good place to work. Since June 2013 I ve been managing the diary of Paul Meijs, head of Sales and Marketing. That s a new department within BIZA, and its tasks include handling the negotiations with the insurance companies. It s new, intensive and sometimes a bit hectic, but that s 10 Summary Annual Report 2013

11 Finance and management The graph below shows that the operating income increased from 666 million in 2012 to 720 million in The operating expenses increased from 641 million in 2012 to 707 million in The budget and the multi-year outlook show that the financing of VU University Medical Center for the years 2014 and 2015 is under pressure. The introduction of performance-related financing and the associated tightening of the risk profile of the care sector, for example by finance providers, means it is important to maintain a sufficient solvency level at least meeting the standards applicable in the sector. The financial position that has been built up in recent yeans means the expected solvency ratios will remain well above the minimum level required by finance providers. Appendix 1 shows the institutional income statement of VU University Medical Center. Operating income/operating expenses in millions of Operating income Operating expenses Strategy and policy The strategy of VU University Medical Center is described in the document Strategie VU medisch centrum : kennis maakt ons beter, keuzes maken ons onderscheidend (Strategy of VU medical center : knowledge makes us better, choices make us more distinctive). The strategy spearheads of VU University Medical Center for the period are: - strengthening focus and making choices - delivering and experiencing quality - investing in our staff An important element of the strategy of VU University Medical Center is the partnership with the AMC. VU University Medical Center took significant steps in 2013 in this partnership. VU University Medical Center and AMC both provide highly specialized care for patients for whom no further referral is possible. In many cases the numbers are small, or the treatment is very complex. The planned partnership creates a concentration of expertise, innovative infrastructure and technology for specific and often highly complex conditions. VU University Medical Center and AMC have already work closely together on the purchase, installation and implementation of a new electronic patient records system. The implementation of such a system has the aim of modernizing and optimizing the access to information. A new and modern electronic patient records system increases the quality of care and patient focus. An effective information system is of great importance in a university medical center for patient care, but also for other tasks such as research, education and the administrative functions related to care. As well as the partnership with the AMC and the introduction of the electronic patient records system, the focus in 2014 will be on a number of strategic areas including: the introduction of (internal) performance-related financing, the economies in programs, the Imaging Center and the NIAZ reaccreditation. Management and governance The Board of Directors of VU Medical Center consists of three members, who together form a collegial executive (see Appendix 2). Wouter Bos is the chairman, Wim Stalman is deputy chairman and dean, and Chris Polman is member with the Patient Care portfolio. Together with VU University Amsterdam, VU University Medical Center is part of Stichting VU-VUmc (VU-VUmc Foundation). Governance of both institutes is exercised by the Supervisory Board of Stichting VU-VUmc (see Appendix 3). Summary Annual Report

12 Appendix 1: Institutional income statement ,000 1,000 OPERATING INCOME: Income from budgeted care provision 78,632 73,848 Non-budgeted care provision (excluding DBC) 5,778 5,857 Revenues DBC (diagnosis treatment combination) products B segment (cure) 44,727 36,332 Revenues DBC (diagnosis treatment combination) products A segment 270, ,746 Revenues from transition scheme and honorarium ceilings 35,831 19,206 Subsidies 173, ,598 Other operating income 111, ,850 Total operating income 720, ,437 OPERATING EXPENSES: Personnel costs 457, ,578 Honorarium costs of independent medical specialists who invoice 0 0 the institute for specialized medical care Depreciation of intangible and tangible fixed assets 33,052 30,225 Impairments of fixed assets 0 0 Other operating expenses 217, ,696 Total operating expenses 707, ,499 OPERATING RESULT 12,699 24,938 Financial income and expenses -9,439-9,991 RESULT FROM ORDINARY OPERATION 3,260 14,947 Exceptional income 0 0 Exceptional expenses 0 0 Exceptional result 0 0 RESULT FOR THE FINANCIAL YEAR 3,260 14,947 ALLOCATION OF RESULT The result is allocated as follows: Addition/(withdrawal): Reserve for acceptable costs ,207 Fire and damage Reserve assigned to Imaging Center 0 1,726 General reserve 1,040-2,159 Special reserves for education and research 2,412 1,786 3,260 14, Summary Annual Report 2013

13 Appendix 2: Board of Directors of VU University Medical Center Name and postition Background W.J. (Wouter) Bos Wouter Bos has been chairman of the Board of Directors of VU University Medical (1963) Center since August He studied political science and economics at VU University, where he graduated cum laude in Mr. Bos started his career at Shell, where he held positions in the Netherlands, Romania, Hong Kong and London. He subsequently started his political career in Chairman 1998 as member of the House of Representatives for the PvdA (Labour Party), of which he became political leader from 2002 to 2010, and from 2007 to 2010 he was deputy Prime Minister and Minister of Finance. He left politics in 2010 and became a partner in KPMG Healthcare in the Netherlands. He left KPMG in 2013 to take up the position of chairman of the Board of Directors of VU University Medical Center. Primary attention areas - Overall coordination of strategic policy-making and planning & control - Finance - Personnel and organization - Building and accommodation - Coordination VU-VUmc - Private care Prof.dr. W.A.B. (Wim) Stalman Prof.dr. Wim Stalman has been deputy chairman of the Board of Directors of (1951) VU University Medical Center and Dean of Medicine. Prof. Stalman studied medicine at the University of Nijmegen and gained his registration as general practitioner at Utrecht University in For a large part of his 20 years as general practitioner in a multidisciplinary partnership he was affiliated to the UMC Utrecht as professor Deputy chairman/dean of general practice and senior researcher. From 1997 to 2001 he was chairman of the Dutch College of General Practitioner (NHG), where he won the international Bertelsmann prize in Prof. Stalman has been with VU University Medical Center since 2001; until 2007 as professor of general practice, and was founder of the first Dutch university general practice at VU University Medical Center in Primary attention areas - Education - Specialized medical education and further nursing education - Scientific research - ICT - Knowledge valorization Prof.dr. C.H. (Chris) Polman Prof.dr. Chris Polman (1958) has been member of the Board of Directors of (1958) VU University Medical Center since July 2013, with the Patient Care portfolio. Prof. Polman has been with VU University Medical Center since He was appointed in 1994 as professor of neurology, and became head of this department in He is an eminent scientist in the field of multiple sclerosis (MS), he was named Member as the world s leading MS expert in 2013 and is an inspired neurologist who has performed numerous management functions over the years. In his different functions prof. Polman has gained experience with policy and management responsibilities, and has also been closely involved in quality of patient care. Primary attention areas - Patient care - Quality and safety of care - Introduction of the electronic patient record system Summary Annual Report

14 Appendix 3: Supervisory Board of Stichting VU-VUmc Name and position Drs. W.J. (Wim) Kuijken (1952) Chairman H.H.J. (Herman) Dijkhuizen RA (1960) - Deputy chairmen - Chairman Remuneration Committee - Chairman Audit and Accommodation Committee Prof.dr. E.C. (Eduard) Klasen (1949) - Chairman - Chairman Quality Committee mr.drs. J.L. (Jan Louis) Burggraaf (1964) Ancillary positions Delta Commissioner and ABDTOP consultant Chief Financial Officer NIBC Bank N.V. Former member of the Board of Directors and dean Leiden University Medical Center Partner at Allen & Overy LLP - Member Audit and Accommodation Committee - Attention area VU Drs. W. (Willem) Geerlings (1950) - Member Quality Committee - Attention area VUmc Prof.dr. A.T. (Annetje) Ottow (1965) - Member Quality Committee - Attention area VU Drs. J.P. (Jacqueline) Rijsdijk (1956) - Member Remuneration Committee - Member Audit and Accommodation Committee - Attention area VUmc Chairman of the Board of Directors of Medisch Centrum Haaglanden. Mr. Geerlings will step down from his board membership position in 2014 Professor of Public Economic Law at the Europa Institute of Utrecht University Former divisional director of Nederlandsche Bank and former member of the Board of Directors of ASR Nederland 14 Summary Annual Report 2013

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16 Fotografie Digidaan DTP Gerda Lieftink DPC VUmc PO Box MB Amsterdam