OUS, June2014

1. OUS, June2014

2. Oslo University Hospital • Includes former Aker University Hospital, Rikshospitalet University Hospital, The Norwegian Radium Hospital and Ullevål University Hospital • Before the merger: • Two or more hospitals offered the same health services and treatments within the same area • Potential for more efficient use of professionals and resources

3. Brief history • 1 July 2007: The Southern Norway Regional Health Authority and The Eastern Norway Regional Health Authority merged into the South-Eastern Norway Regional Health Authority • Aim: To improve the hospital structure in Oslo • Autumn 2008: The Board of the South-Eastern Norway Regional Health Authority decided to split the region into hospital areas in which health trusts should provide the population with comprehensive health services • 1 January 2009: Oslo University Hospital was established with the merger of Aker University Hospital, Rikshospitalet University Hospital, The Norwegian Radium Hospital and Ullevål University Hospital • Aim of the merger: • strengthen the role as a local hospital • unite regional functions • adapt resources to a reduced catchment area • establish good pathways of patient care

4. The hospital's main tasks • Patient treatment and care • Research • Educating and training health personell • Educating and training patients and their relatives

5. Division of Mental Health and Addiction Marit Bjartveit Division of Medicine Lena Gjevert Division of Surgery and Clinical Neuro-science Olav Røise Women and Children’s Division Terje Rootwelt Division of Cancer Medicine, Surgery and Trans-plantation Sigbjørn Smeland Division of Cardio-vascular and Pulmonary Diseases Otto Smiseth The hospital’s organisation CEO Bjørn Erikstein Integration and International CollaborationTove Strand Finance, Legal Affairs and Information Technology Morten Reymert Medicine, Health and Development Cathrine Lofthus Research, Innovation and EducationErlend Smeland Patient Safety and QualityEva Bjørstad Communication Christina Rolfheim Bye Human Resources Rolv Økland Division of Emergen-cies and Critical Care Øyvind Skraastad Division of Diagnostics and Inter-vention Lars Eikvar (kst.) Oslo Hospital Services Geir Teigstad CancerRegistry Board Cancer Registry Giske Ursin

6. Catchment areas • Local hospital for six districts in Oslo • Area hospital for twelve districts in Oslo • Regional hospital for 2.7 million people in Eastern and Southern Norway    • National hospital within some areas of specialised medical treatment

7. A day at Oslo University Hospital • 3300 patients treated • 380 ambulance assignments • 1800 patient transports • 2000 porter assignments • 26 babies born • NOK 55 million in budget • 15 000 people at work • 2160 dinners served • 15 tons of linens and uniforms washed

8. Some key figures (2013) • Over 1 million patient treatments • 50 000 surgical treatments • 118 training courses for patients and their relatives • 17 000 man-year • 20 billion Norwegian kroner budget • 1 million square meters spread across 325 buildings • Patient treatment takes place in over 40 different locations

9. Some priority areas • Treatment of severe injuries - multiple traumas. New emergency unit opened in January 2014 • Cancer treatment • Transplants • Treatment of heart arrhythmia • Childbirths • Gynecological procedures with keyhole surgery • Research on the treatment of substance abuse and addiction among young people

10. Research (2013) • Accounts for a large part of medical research conducted in Norway • Collaborates with the University of Oslo, various colleges and a number of national and international research institutes, provides research support for hospitals in the South-East of Norway • 150 doctorates and over 1700 scientific articles in 2013 • 88 inventions reported in 2013 • Three Centres of Excellence • Very good results in the Research Council's evaluation of research in 2011 • Research plays a key role within the hopital’s national assignments and Centres of Competence

11. National and multi-regional services • The hospital has a nationwide responsibility for a number of national and multi-regional assignments and national centres of competence • Highly specialized treatment • Equity in health services • National competence building • Monitoring and dissemination of results • Guidance, training and education of professionals • Professional networks and reference groups • Research

12. Health Arena Aker • An arena where the hospital and Oslo City Health Authorities work side by side to provide added value for Oslo’s citizens • Oslo’s challenges: population growth, large social inequalities in health, substance abuse, changing medical needs, a growing immigrant population, cultural and religious differences, language challenges • Tailor new health services to Oslo’s diverse population • Areas of focus: rehabilitation, geriatrics, palliative care, substance abuse treatment, outpatient clinics, day surgery and emergency care base • Meet the future health challenges with innovative research and learning environments

13. Equal health services • Increasing employees’ competence: • focus on multicultural health care • courses in Norwegian • management recruitment programs with multicultural perspective • 12 482 interpreting assignments in 2013 • Information must be adapted to fit its audience, in the correct language and delivered through the most appropriate medium • Councelors and advisors from 12 religious and spiritual communities are available for patients and their families

14. The future Campus Oslo • A project evaluating future scenarios for the hospital’s geographical location and organizational structure • Gather all hospital functions at one location, or remain scattered? • Cooperate with the University of Oslo and Oslo City to create a environment - a campus- for health care, research, education and private and public enterprises? • What benefits patients and the population of Oslo the most? • The Campus Oslo project will deliver its recommendations to the hospital board in the summer of 2014