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I nternational S ociety of O rthopaedic C enters ENDO-Klinik, Hamburg/Germany

I nternational S ociety of O rthopaedic C enters ENDO-Klinik, Hamburg/Germany. Bologna/Italy, April 29 – May 1, 2010. Agenda. Background of Sibylle Stauch-Eckmann German Health Care System Structure and data of ENDO-Klinik Teaching and research efforts Strategic plan. Background.

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I nternational S ociety of O rthopaedic C enters ENDO-Klinik, Hamburg/Germany

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  1. International Society of Orthopaedic CentersENDO-Klinik, Hamburg/Germany Bologna/Italy, April 29 – May 1, 2010

  2. Agenda • Background of Sibylle Stauch-Eckmann • German Health Care System • Structure and data of ENDO-Klinik • Teaching and research efforts • Strategic plan

  3. Background SIBYLLE STAUCH-ECKMANN, Dipl. Wirtsch.-Ing. • 39 years old, married, 2 sons (6 and 1.5 y.) • Studies of economics and mechanical engineering at TU Darmstadt,1989-1995 • Internat. Traineeprogramme Dräger Medical (Germany, Belgium), 1995/96 • Executive on sales and marketing within Dräger Medical Germany, 1996-2001 • Executive assistant of Damp Group, 2001/02 • Administrative Director of ENDO-Klinik, 2002-2005 • Managing Director of ENDO-Klinik, since 2005 • Honorary member of the Hamburg Chamber of Commerce & Industry and delegate of DIHK, special focus on life sciences • Member of Rotary Club Hamburg Steintor

  4. Agenda • Background of Sibylle Stauch-Eckmann • German Health Care System • Structure and data of ENDO-Klinik • Teaching and research efforts • Strategic plan

  5. German Health Care System • Expenses on health services in Germany, 2009: € 280 billions • 10.5 % gross domestic product • € 65 billions in the hospital sector • >5 mill.employees • of those 3 mio. female • 1.1 mill. in the hospital sector • Economic growth of2 % p.a. up to 2030 • International top position of special branches, e.g. medical technology (patent pending and part of world trade) • Health insurance system (app. 370 insurance companies) • solidarity based system - compulsory insurance • high competition between private and state health insurance companies • 2,087 hospitals • 32% public, 38% non-profit and 30% private hospitals • 17.2 mill. patients treated with 8.3 days of average stay in hospitals • Since 1989 eight reforms of health care legislation • Since 2003 the hospital finance system is based on DRGs(adoption and development of the Australian DRG-system) • External state quality control for defined operations (e.g. hip and knee joint replacement)

  6. Agenda • Background of Sibylle Stauch-Eckmann • German Health Care System • Structure and data of ENDO-Klinik • Teaching and research efforts • Strategic plan

  7. TONDERN SCHÖNHAGEN DAMP AHRENSHOOP SCHLESWIG KIEL STRALSUND LÜBECK WISMAR NORDERSTEDT LEHMRADE HAMBURG HARBURG LÜNEBURG Since 1998 ENDO-Klinik part of Damp-Group, which is the leading private hospital group in Northern Germany Location • Ahrenshoop Service GmbH • Akademie Damp GmbH • Damp Holding AG • Damp Sundhedscenter Tondern • Damp Touristik GmbH • ENDO-Klinik Hamburg GmbH • HANSE-Klinikum Stralsund GmbH • HANSE-Klinikum Wismar GmbH Ostseeklinik Damp GmbH Ostseeklinik Kiel GmbH Reha-Klinik Ahrenshoop GmbH Reha-Klinik Damp GmbH Reha-Klinik Lehmrade GmbH Reha-Klinik Schloß Schönhagen GmbH Therapie Centrum Damp GmbH SCHLEI-Klinikum Schleswig FKSL GmbH SCHLEI-Klinikum Schleswig MLK GmbH Reha-Zentrum Harburg GmbH Reha-Zentrum Norderstedt GmbH Reha-Zentrum Lübeck GmbH ENDO Reha-Zentrum GmbH Sport-Reha Kiel GmbH Tagesklinik am Kurpark Lüneburg GmbH Zentrale Service-Gesellschaft Damp mbH

  8. GENERAL VIEW Damp Holding AG Board: Dr. Claus-Michael Dill (Chairman) Rehabilitation Beds: 1,488 Tourism Beds: 2,500 Surgery and Hospital Treatment Beds: 2,100 2009 Turnover appr.€ 450 mill. Employees:7,800 Structure and data of ENDO-Klinik

  9. Structure and data of ENDO-Klinik:Speciality center for bone, joint and spinal surgery Specialities • since 1976 focused in the field of total joint replacement of knee, hip, shoulder and foot • Infected arthroplasty (400 cases p.a.) • Spine center (900 cases p.a.) • Blood bank and bone bank in-house Figures Facts • Pioneer of total joint replacement in Germany • Implantation of 115,000 prostheses since foundation • Long lasting scientific cooperation in development of hip- and knee-prostheses (Link Inc., Zimmer Inc.) • Strategic partnership with the Technical University of Hamburg in biomechanics • Education and Training of app. 400 medical specialists since foundation, 300 visitors p.a. • Turnover 2009: € 48 mill. • EBITDAR 2009: 12.8% • Employees: 413 (incl. all physicians) • Beds: 250 on 4 wards • Orthopaedic surgeons: 22 • Other physicians: 52 • Investments on buildings since 2007:€ 90 mill. thereof € 38.1 mill. contribution of the Hanseatic City of Hamburg

  10. New Building (since May 2009) restructuring of ambulance and reception center 8 innovative operating theatres (7,500 m2) 4 and 2 in open-plan and 2 singles Recovery area [PACU] (20 beds) Intermediate and Intensive Care Unit (19 beds) sterilization center radiology center (incl. CT, MRT, Teleradiology) 4 wards (64 or 48 beds) with standard double or single rooms ecological technologies (concrete core cooling, photovoltaics, re-using of water) Old Building (refurbishment 2010-2012) 40 additional beds with special comfort 40 stationary rehabilitation beds in-house Rehab-Center on 2 floors out-patient Operating-Center Teaching and Science Center (ENDO foundation) Restaurant and bistro areas Structure and data of ENDO-Klinik:Building structure

  11. Structure and data of ENDO-Klinik: Surgeries (2009) • Average patients stay: 10.1 d • Primary joints: 8.2 d • Occupancy: 95 %

  12. Agenda • Background of Sibylle Stauch-Eckmann • German Health Care System • Structure and data of ENDO-Klinik • Teaching and research efforts • Strategic plan

  13. Teaching and research efforts Research • clinical focus (no in-house laboratories) • mainly on joint replacement • comparative outcome studies on TKA and THA implants • clinical database since 1968 • large retrieval collection (> 7,000) • outcome of one staged septic revisions Teaching Staff • 23 residents • 4 fellows • 5 interns (Hamburg University Hospital) • 2 attendings • 1 fellow • 4 residents • 1 research assistant • 4 students (actively involved)

  14. Agenda • Background of Sibylle Stauch-Eckmann • German Health Care System • Structure and data of ENDO-Klinik • Teaching and research efforts • Strategic plan

  15. Strategic Plan and major issues STRATEGY • Local diversification and growth by refurbishing the old clinic building • medical competence center (combining treatment of out- and in-patients AND clinical sector with rehab sector) • growth in wards for private patients (1 bedroom) • offering high level services • ENDO branding as an opportunity for external growth • first step in German locations • ENDO-inside-strategy versus franchise • standardization and training issues implicated • More intensive cooperation with ENDO-charity and ENDO-foundation • fund raising mainly for financing research efforts and training issues FUTURE CHALLENGES • Personnel development because of skills shortage (e.g. qualified nurses, physicians) ! • Price competition: CAVE selective contract system for elective cases ! • Quality competition: which are the right indicators or independant data collectors ?

  16. THANK YOU !

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