Siemens Healthcare MES Portfolio en Contractering Page 1
Where we began World Healthcare Cold War ends Stability Wealth Creation Mass Mobilisation of capital markets UK & US economic revival and growth Technological innovations and medical breakthroughs including MRI, keyhole surgery, organ transplants Governmental healthcare funding Introduction of MES Technology Supplier relationship ge Chan Dawn of Information Age, PCs Modern manufacturing goes mainstream Human genome project begins Dolly the sheep, first cloned mammal Labs choose best of breed Technical purchasing Vendors ship product and provide technical service Product vendor 80s & 90s 2000s Present
Where we were World Healthcare Internet and global institutional framework creates globalisation Rise of China & new emerging global players World economy doubles, overheating and overextending... Health systems still secure and well funded, but a demographic time bomb is ticking US Health care costs are out of control Global l demand d outstripping i world s natural resources Technology Supplier relationship ge Chan Human Genome project is completed Computing and Internet enables information flow and organisation of mass data Emergence of robotics and automation Trend toward 1-2 main suppliers, still partially technical driven Key touch points instrument installation, product shipping, and technical/field service Preferred supplier 80s & 90s 2000s Present
Where we are now World Healthcare Global financial crisis and Eurozone debt crisis in full force Health reforms and austerity programs hit health systems across developed countries Baby boomers enter retirement Funding crisis Aging society bring increasing demands on already fragile economies Focus returns to reducing costs with suppliers ge Chan Technology Mobile technology and explosion of apps Miniaturization FDA and Regulatory bodies increasing cost and time of innovation Globalisation li of fhealthcare providers increases competitiveness Supplier relationship Increasing intensity of relationship with single preferred supplier Automation and IT are backbone Project management, change management, workflow consulting in the fold Preferred supplier Solutions consultant 80s & 90s 2000s Present
The future: Where do we go from here? World Global warming and resource scarcity Growing and aging populations Urbanization and Globalization Ubiquity of IT / Communication / Software Technology Algorithms Next Gen Mobile and Social Technologies Personalized Healthcare Healthcare Industrialisation and Commercialisation of Healthcare Providers (Consolidation, International Expansion, Community Health Management, Value-Based Procurement ) Patient centric healthcare Supplier relationship Trusted Partnership enhanced solutions allows for Win-Win relationship Aligned Strategy, KPIs and activities Next gen automation, End-to-end solutions, Molecular diagnostics Trusted partner Strategic contributor Solutions consultant
MES portfolio will play an integral part in helping hospitals How would your win-win business model for our planned specialty clinics look like? How can you help us turn around our lossmaking heart failure unit within 3 years? How would you design a comprehensive solution for the new OR suites in our IDN? Are you providing reliable service and are you easy to do business with? Trusted partner Strategic contributor tib t Solutions consultant Can I get an attractive quote for a 16-slice CT? Page 6 Product vendor Preferred supplier MES will build up the portfolio needed to answer these questions
Moving from Vendor to Partner Page 7
This will be a journey of transformation and discovery Page 8
Missed opportunities are our biggest risk Page 9
The Market Healthcare costs in % of GDP Page 10
Siemens Healthcare Our solutions for healthcare Page 11
Delivering solutions for healthcare providers Imaging diagnostics & therapy Laboratory diagnostics Women s health Urology Information technology Radiation therapy Oncology Neurology Radiology Cardiology Surgery Intensive care unit Consulting Emergency Laboratory Service Education & training Page 12
Delivering Solutions Across the Entire Clinical Spectrum Interventional angiography Mammography Molecular imaging Imaging Software Women s health Urology Radiation Cardiology therapy Computed tomography Ultrasound imaging Molecular testing Point of care testing Oncology Surgery Neurology Radiology Intensive care unit X-ray imaging Magnetic resonance imaging Emergency Laboratory Hemostasis & hematology testing Clinical chemistry & immunoassay testing Page 13
Our Ambition We want to become THE enabler of healthcare providers worldwide. Bernd Montag Chairman of the Executive Management and CEO Page 14
and they will focus on Partnerships vs. transactional relationships Standardization of care provision Outsourcing of non-core processes Systematic performance optimization Continuous quality improvement Ongoing cost reduction Page 15
Uitdagingen besturen van de ziekenhuizen Markt: Marktwerking (rol overheid, zorgverzekeraars) Toenemende concurrentie Opkomst privé klinieken Nieuwe business modellen Customer loyalty Technologisch: Combinatie van technologiën (hybride systemen) Snelle technologische ontwikkelingen Personalized Healthcare Multi-vendor omgeving Operator Operator Operationeel: Tekort medisch personeel Efficiency verbeteringen door workflow optimalisatie Focus op core proces Complexere besluitvormingsprocessen Financieel: Van non-profit naar profit Toenemende kostendruk door zorgverzekeraars Kapitaallasten Balansdenken Page 16
Current competencies in Infrastructure Planning Services Complete redesign of Radiological department Hybrid OR Planning Support complete hospital planning Page 17
Partnership Contract - Opbouw Best in Class Performance Clinical Freedom of Choice State of the Art Benchmark Uptime temen Sys Training Consultancy Ontbinding Flexibiliteit Contractduur 15j customized contract Page 18
Analyse model capacateitsoptimalisatie Page 19
Lange termijn visie: voorkomen is beter dan genezen Begrijpen ziekte van de patient Diagnosis of a disorder (e.g. infection, cancer, ) Localization of disease (e.g. stenosis, tumor, ) Reveal multi-morbidities morbidities Begrijpen biologie van de patient Genetic pre-disposition Patient metabolism / immune reactions Molecular specificities of the disease Stratification for treatment Analyse om te voorkomen en voorspellen Assessment of similar cases Structured outcome analysis Decision support systems Reduce variations in care Imaging, Diagnostics Molecular applications Healthcare IT Page 20
Onze Klanten Onze Referenties 1) 1) Brains Unlimited Universiteit 1) Meerjaren contracten Page 21
Q&A Page 22