Redefining Rehabilitation
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1 Redefining Rehabilitation Willem Wiegersma, CEO Swiss Reha-Forum 15th of November 2018
2 Agenda Introduction of Basalt Rehabilitation in the Netherlands Developments in Rehabilitation Redefining Rehabilitation
3 1880 Sophia Rehabilitation started in Scheveningen Merger Sophia with Rehabilitation Delft Merger Sophia & Rijnlands Rehabilitation Centre
4 Basalt offers specialist medical rehabilitation care to children, young people, adults Our rehabilitation 2 clinics / 124 beds 10 locations for treatments (day basic) and polyclinic consults 6 hospital-locations 70 million turnover Paid by 5 health insurances companies 10% market share national Our patients 800 in-patients (average 50 days) 2500 children 350 young adults (15-25 years old) 6000 adults Our Organization 1100 employees 54 medical specialists Board of Directors (2) 9 departments for cure 9 dual management (medical and general) 34 teamleaders 5 staff managers Our region: 1,9 million inhabitants 5 big hospitals (12 locations) 1200 family doctors 200 organizations for home care and long care 3 schools for mytyl/tytyl 1 rehabilitation centre(full services)
5 Medical Rehabilitation Rehabilitation aims to achieve recovery or improvement of people with long-term physical injury, functional impairment or chronic diseases The objective of the rehabilitation care is to help the patient to fulfil the role he/she wishes to play in society again, as well as possible, despite any participation problems
6 Main conditions and illness Brain damage Spinal cord injury Other neurological muscular conditions (ALS / MS / CP) Amputations Chronic pain Orthopaedic and traumatological conditions Rheumatic conditions Heart and lung illnesses Skin conditions (incl. burns and bed sores) Oncological conditions
7 InterdisciplinaryApproach Rehabilitation doctor (overall responsibility) Occupational therapist Physiotherapist Dietician Physical education therapist Rehabilitation technician Exercise therapist Speech therapist Activity therapist Social worker Nurse Experts in labor Psychologist Sexologist Teacher Creative therapist
8 Health Care Rehabilitation 3d line University Medical Centre (8) Rehabilitation Centre (15) 2nd line Hospital (60) Hospital Rehabilitation(60) Commercial rehab centre(25) 1st line Family partitioners (12.000) Geriatric rehabilitation nursinghome (170) Nursinghome/ long stay(2500) Physiotherapy centre(19.000)
9 Why Redefining Rehabilitation? 6 reasons
10 1 Who is our patient? A critical consumer A Survivor: chronic patient More elderly patients, less youth Circumstance: Dichotomy in society
11 2 Accelerated growth of cost 2018: 90 (billion) 2040: 170 (billion) in NL 1. Expensive new medicine 2. New technology 3. Ageing population
12 3 Healthcare = ICT Stand alone or Interoperability ICT decides for you? Or the other way around? ICT: Cost or solution for cost reduction? Security of patient and doctor or big brother is watching you?
13 4 Technology as innovator
14 5 Home is everything Hospital Care Rehab Centre Family doctor Self Management Now 2-line 1ste-line / family doctor Selfmanagement (eheatlth& prevention) Future
15 6 Need for Transparency Patient Policyholder Hospital Business Health Care Inspectorate Government Insurer Financier
16 Redefining Rehabilitation Traditional rehabilitation centre becomes Centre for excellence
17 Centre of ExcelleneRehabilitation 1. Focus on complex medical Rehabilitation 2. Innovation and Research 3. Leading in the networks of Rehabilitation
18 1. Focus on complex Rehabilitation Diagnostic analyse Triage Focus on complex diseases and treatments Shared decision making Positive health Evidence Based Practices
19 2. Innovation & Research Value Based Rehabilitation (outcomes / transparency) Applied innovations E-rehabilitation Home-rehabilitation Cooperation with Leids University Medical Centre, The Hague University of Applied Sciences, University of Technology Delft
20 3. Leader in networks Networks with hospitals, family doctors, physiotherapists In 5 regions Each diseases one own network: CVA, oncological rehabilitation, CP-rehabilitation, amputation-rehabilitation
21 Redefining Rehabilitation Our journey started just 140 years ago And you?
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