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Francois Clerin.pdf - International Hospital Federation

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GE Healthcare<br />

New <strong>Hospital</strong> Projects:<br />

Perspectives & Solutions<br />

IHF Meeting<br />

Paris, May 14


Confidential information –<br />

Restricted use only<br />

© GE Healthcare<br />

This document is the copyright of GE Healthcare and includes confidential information of GE Healthcare.<br />

You must seek express written permission from GE Healthcare to copy or reproduce any of the material or graphics contained within this document.<br />

The terms of any confidentiality agreement (or NDA) that you may have entered into with GE Healthcare would continue to apply.<br />

Reproduction of any of this material in any form, is subject also to the condition that any document or publication in which this material is displayed<br />

does not:<br />

1. in any way imply that GE is endorsing an organisation, journal or publication or any particular products, services or communications;<br />

2. present false information concerning GE;<br />

3. contain content that could be construed as distasteful, offensive or controversial;<br />

4. infringe any intellectual property or other rights of any person or otherwise not comply with any relevant law or regulation.<br />

Where third party material appearing in this document is reproduced, prior written consent of the owner of the copyright in that material (as may be<br />

stated in this document) must be obtained and -where relevant- the copyright notice pertaining to that third party material must appear on all copies.<br />

GE regards infringement of copyright as a serious offence and infringements will be pursued to the fullest extent of the law. Any rights not expressly<br />

granted in these terms are reserved.<br />

Disclaimer<br />

This document utilizes information and concepts from multiple sources that GE Healthcare regards as best practice. Where possible contributors<br />

have been acknowledged.<br />

The generic information contained herein is provided by GE Healthcare in the spirit of co-operation and GE Healthcare makes no representations or<br />

warranties about its accuracy, completeness, currency or fitness for purpose. Recipients accept this basis for the provision of the information and will<br />

not make any claim against GE Healthcare for any loss or damage it may suffer through the use of this information. GE Healthcare is not, and will<br />

not be deemed to be, providing legal or financial advice to the recipient.<br />

2 /<br />

GE Confidential – Internal Use Only


Before the crisis…<br />

3 /<br />

GE Confidential – Internal Use Only


<strong>Hospital</strong> construction:<br />

market estimation<br />

Total market<br />

~<br />

$70B/year<br />

N. Americas<br />

Canada ~$2 B<br />

US ~ $29 B<br />

Europe<br />

Western ~ $9 B<br />

Eastern ~ $4 B<br />

Asia<br />

China ~ $3 B<br />

India ~ $2 B<br />

Russia ~ $2 B<br />

Other ~ $7 B<br />

M. East-Africa<br />

Egypt ~ $1 B<br />

Southeast Asia<br />

$2 B<br />

S. Africa~ $1 B<br />

LA Total<br />

$3 B<br />

UAE ~ $1 B<br />

Other - $2 B<br />

Australia<br />

$1 B<br />

Source: Frost & Sullivan study (2008).<br />

4 /<br />

GE Confidential – Internal Use Only


Western providers developing<br />

internationally<br />

Source: Mc Kinsey.<br />

5 /<br />

GE Confidential – Internal Use Only


After the crisis…<br />

6 /<br />

GE Confidential – Internal Use Only


Impact on hospitals<br />

Hiring freeze<br />

Investment freeze<br />

Budget cuts<br />

… while still delivering the same level of care…<br />

7 /<br />

GE Confidential – Internal Use Only


How GE can help<br />

8 /<br />

GE Confidential – Internal Use Only


GE can help hospitals overcome the<br />

crisis in 4 ways<br />

1. Optimize medical equipment package for new hospital<br />

projects with hospital technology planning<br />

2. Protect your medical equipment assets from future<br />

downturns with Active Technology Partnerships<br />

(automatic updates & renewals)<br />

3. Reduce operating costs & environmental impact with<br />

Green hospital solutions<br />

4. Improve operational performance with Performance<br />

Solutions & Workflow Optimization<br />

9 /<br />

GE Confidential – Internal Use Only


#1 Optimize medical equipment…<br />

<strong>Hospital</strong> technology planning<br />

GE <strong>Hospital</strong> Technology Planners will help<br />

you define the optimal medical equipment<br />

package department by department based on<br />

the functional program of the hospital<br />

GE will prepare room by room equipment<br />

plans for the whole equipment package (GE<br />

and non-GE equipment)<br />

10 /<br />

GE Confidential – Internal Use Only


#2 Protect your medical equipment<br />

assets… Active Technology Partnerships<br />

Active Technology Partnership (ATP) is a<br />

special type of partnership agreement by which<br />

GE will maintain, update and renew your<br />

medical equipment over a long period of time<br />

(up to 30 years)<br />

ATP is ideally suited for Public-Private-<br />

Partnership (PPP) type deals.<br />

Benefits: long-term agreement, fixed cost,<br />

minimized technology obsolescence, flexibility,<br />

great platform to leverage all other HHS<br />

services…<br />

Belfast Cancer Center<br />

Many successful projects in Europe:<br />

Princess Royal University <strong>Hospital</strong> (UK)<br />

Walsgrave University <strong>Hospital</strong> Coventry<br />

(UK)<br />

Belfast Cancer Center (Ireland)<br />

Southport & Ormskirsk NHS Trust (UK)<br />

St Helen & Knowsley NHS Trust (UK)<br />

Gesundheit Nordhessen (Germany)<br />

…<br />

11 /<br />

GE Confidential – Internal Use Only


#3 Reduce operating costs & eco<br />

impact… Green hospital solutions<br />

Energy<br />

Electricity & Lighting<br />

Energy efficient: lighting, motors,<br />

ED, UPS, LED<br />

Microbe Killing UVC Lighting<br />

Lighting controls & audits<br />

Power monitoring<br />

Jenbacher<br />

Solar<br />

Energy Services<br />

Water<br />

MBR/RO System – wastewater<br />

reuse<br />

Chiller/Boiler Chemical<br />

Treatment<br />

Legionella risk reduction<br />

Flow monitoring<br />

River to river audits<br />

Enterprise<br />

Building Automation<br />

Fire-Life-Safety systems<br />

Electronic Access & Facility Mgt<br />

CO2 ventilation monitoring systems<br />

Capital<br />

Grant facilitation<br />

Project financing<br />

Local and national financing<br />

sources<br />

Healthcare<br />

Ecomagination certified medical devices<br />

Lean workflow and design<br />

Remote diagnostics<br />

RFID Tracking & EA<br />

Nurse call<br />

12 /<br />

GE Confidential – Internal Use Only


#3 Reduce operating costs & eco<br />

impact… Medical equipment examples<br />

Pending<br />

FDA<br />

approval<br />

Signa HDe 1.5T MR<br />

(July 08)<br />

41% less energy<br />

Zero Helium boil off<br />

20% less space<br />

$7,000 savings/year<br />

Digital X-ray Family<br />

(Dec 09)<br />

78% less energy<br />

156k gal water saved<br />

1,900 gal chemicals avoided<br />

2 tons waste reduction<br />

$100k/yr productivity &<br />

material savings<br />

Voluson E6 & E8<br />

(Mar 09)<br />

38% less energy<br />

25% scan time reduction<br />

62 lbs paper reduced/<br />

machine<br />

$15k/yr material<br />

savings<br />

13 /<br />

GE Confidential – Internal Use Only


#4 Improve operational perf…<br />

Performance Solutions<br />

References<br />

Education programs (Clinical, Medical,<br />

Management)<br />

Quality management (Lean, Six Sigma,<br />

CAP…)<br />

Department solutions (Emergency, imaging,<br />

OR…)<br />

Patient safety<br />

Supply chain<br />

Asset management<br />

Workflow optimization<br />

…<br />

14 /<br />

GE Confidential – Internal Use Only


#4 Improve operational perf…<br />

Workflow Optimization<br />

Phase 1: Study service line volumes to<br />

identify top procedures<br />

Phase 2: Develop clinical pathways for<br />

top procedures<br />

Phase 3: Design physical layouts by using<br />

workflow simulation tools<br />

Benefits: improved patient flow and<br />

productivity, optimal use of resources,<br />

patient & staff satisfaction…<br />

First pilot project in Europe<br />

Many successful projects in the USA<br />

Workflow optimization services to be<br />

launched in Q3/Q4 2009<br />

15 /<br />

GE Confidential – Internal Use Only


<strong>Hospital</strong> & Healthcare Solutions<br />

Advisory<br />

Services<br />

Integrated<br />

Care<br />

Solutions<br />

Turnkey<br />

Medical<br />

Equipment<br />

Financing<br />

Solutions<br />

Active<br />

Technology<br />

Partnerships<br />

Market intelligence<br />

Strategic planning<br />

Technology<br />

roadmaps<br />

Workflow<br />

optimization<br />

Performance<br />

Solutions<br />

Trends &<br />

challenges<br />

State of the art<br />

medical technology<br />

Green hospital<br />

technology<br />

Concept layouts<br />

Business metrics<br />

Definition of needs<br />

<strong>Hospital</strong><br />

technology planning<br />

Equipping made<br />

easy<br />

Active involvement<br />

in facility operations<br />

Financial<br />

consultancy<br />

Financing in action<br />

Going beyond<br />

project<br />

implementation<br />

Additional benefits<br />

16 /<br />

GE Confidential – Internal Use Only


Examples of cooperation<br />

between GE & hospitals<br />

17 /<br />

GE Confidential – Internal Use Only


GE & UPMC<br />

UPMC provides:<br />

Clinical/Oncology expertise<br />

Operational expertise<br />

Clinical education<br />

3D treatment planning<br />

…<br />

GE provides:<br />

Market intelligence<br />

Strategic planning guidance<br />

Oncology center concept<br />

Financing<br />

Match-making<br />

Turnkey medical equipment<br />

Performance Solutions<br />

…<br />

18 /<br />

GE Confidential – Internal Use Only


GE financing public hospital projects<br />

through concessional loans<br />

Matching GE manufacturing facilities with<br />

Governments soft loans available to create<br />

new healthcare development programs<br />

Examples of soft loans available:<br />

-Austria<br />

-China<br />

-Finland<br />

-France<br />

-Germany<br />

-Hungary<br />

-Italy<br />

-Japan<br />

-Korea<br />

-USA<br />

…<br />

Project examples:<br />

Namibia: renovation of 46 hospitals with<br />

Finnish soft loan<br />

Nigeria: renovation of 14 teaching hospitals<br />

Lybia: Benghazi Medical Center with AFD<br />

(France)<br />

Vietnam: Cao Bang <strong>Hospital</strong><br />

…<br />

19 /<br />

GE Confidential – Internal Use Only


How can we work together?<br />

GE may share information and best<br />

practices on:<br />

<strong>Hospital</strong> technology<br />

<strong>Hospital</strong> technology planning<br />

Active Technology Partnerships<br />

Green tech solutions<br />

Operational performance<br />

…<br />

IHF may share information on:<br />

Clinical trends<br />

<strong>Hospital</strong> management trends<br />

…<br />

20 /<br />

GE Confidential – Internal Use Only


Thank you!<br />

François Clérin<br />

Managing Director<br />

<strong>Francois</strong>.clerin@ge.com<br />

Frédéric Camboulives<br />

General Manager<br />

Frederic.camboulives@ge.com<br />

Bruno Regnault<br />

Marketing Manager<br />

Bruno.regnault@ge.com<br />

21 /<br />

GE Confidential – Internal Use Only

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