The document discusses improving radiotherapy efficiency in Spain while maintaining quality and access. It addresses balancing efficiency, quality, and access. Some key points discussed include: - GenesisCare has a presence in 5 Spanish regions with 11 radiotherapy centers and a heterogeneous fleet of equipment. - Efficiency does not just define the current state but also the ability to adapt quickly to changes, which is an important "future-readiness" metric. - Maintaining state-of-the-art techniques for all patients requires addressing unacceptable maintenance schedules and downtimes. - Ways to improve efficiency discussed include developing internal expertise through standardization and automation, creating a coherent technical platform, and upgrading infrastructure through investments. Specific examples provided

1. Radiotherapy efficiency whilst maintaining quality / access
Carlos Rodrigues
Clinical Development Manager - GenesisCare International
SPAIN

2. INTRODUCTION / SPAIN

3. INTRODUCTION / SPAIN
Andalucía
Murcia
Communidad
Valenciana
Madrid
Castilla de la Mancha
✓ Presence in 5 regions

4. INTRODUCTION /
✓ Presence in 5 regions
Alicante
Murcia
Talavera
(PPP)
Alcázar (PPP)
Toledo
Guadalajara
(PPP)
Jerez de la Frontera
Algeciras
Granada
Cordoba
Madrid
Sevilla Cabra (= Goat )
600km / 370 miles
✓ 11 + 5 RT centers
SPAIN

5. INTRODUCTION /
✓ Presence in 5 regions
1 Linac / 1 Bunker
2 Linac / 2 Bunker
1 Linac / 2 Bunkers
✓ 11 + 5 RT centers
✓ Bunkers & Linacs
SPAIN

6. INTRODUCTION /
✓ Presence in 5 regions
✓ 11 + 5 RT centers
✓ Bunkers & Linacs
✓ Heterogenous Fleet
SPAIN

7. INTRODUCTION /
✓ Presence in 5 regions
✓ 11 + 5 RT centers
✓ Bunkers & Linacs
✓ Heterogenous Fleet
SPAIN

8. INTRODUCTION /
✓ Presence in 5 regions
✓ 11 + 5 RT centers
✓ Bunkers & Linacs
SPAIN
✓ Heterogenous Fleet

9. Radiotherapy efficiency whilst maintaining quality / access
Carlos Rodrigues
Clinical Development Manager - GenesisCare International
SPAIN

10. INTRODUCTION / GenesisCare Vision and Values
VISION Innovating Healthcare. Transforming Lives.
STRATEGY
Deliver high patient care Satisfy unmet need Leverage the benefits of a network
VALUES Collaboration Compassion Innovation Outcomes
efficiencyquality access

11. Efficiency vs Quality ?
Capability of producing a specific
outcome with a minimum of waste,
expense or unnecessary effort.efficiency [ih-fish-uhn-see]
noun, plural ef·fi·cien·cies.
So, we beat
the crowd ...
Now what ?
Adapt
baby,
Adapt !
Being the first is not the
answer anymore ...
... continuously adapting is !
Efficiency doesn’t only define your current state but also how fast and appropriately you can adapt
to changes ... This is THE “future-readiness” metric : )

12. Capability of producing a specific
outcome with a minimum of waste,
expense or unnecessary effort.efficiency [ih-fish-uhn-see]
noun, plural ef·fi·cien·cies.
“Medical excellence and patient experience have been the 2 metrics to gauge Healthcare quality
… now has come the time where efficiency is also part of the equation.”
“Health Care’s Service Fanatics” HBR. May, 2013
Efficiency doesn’t only define your current state but also how fast and appropriately you can adapt
to changes ... This is THE “future-readiness” metric : )
Efficiency vs Quality ?

13. What about Access ?
State of the art techniques for all patients always …
10 years
5 years
11 years
17/18 years

14. What about Access ?
๏ Unacceptable maintenance schedules & downtimes
✓ Implementation of new preventive maintenance pulse
✓ Establish shorter intervention times
✓ Work towards a similar to UK/AUS in-house service
✓ Establish a GC continuous tracking of our equipment
State of the art techniques for all patients always …

15. What about Access ?
Example: Toledo 1 Linac / 1 Bunker with 540 patients/year
State of the art techniques for all patients always …

16. What about Access ?
Intense head scratching : )
TomoMobileRADTech, Nelco
Fast Linac GO-LIVETaxi
State of the art techniques for all patients always …

17. What about Efficiency ?
✓ Develop internal know-how (standardisation, automation, …)
Create initial platform & practice alignment
✓ Create coherent technical platform to boost network leverage
‣ System resilience (back-up, disaster recovery, uptime, …)
‣ Alignment of clinical practices (support and simplify adherence)
‣ Automation (reduce workload and enhance robustness/quality)
‣ Roster (leverage the network workforce)
‣ Minimise impact on current running practices
‣ Create practice alignment between AUS_UK_SPAIN ASAP
‣ Produce quickly workload relief
✓ Baseline/uplift infrastructural investment
‣ Patient (immobilisation devices)
‣ Equipment (machine and patient dosimetry)
‣ Staff (promote training and redundancy)

18. What about Efficiency ?
Examples
Stabilisation & Immobilisation project
Chris Martin
Service Improvement Manager
Kate Walsh
Service Improvement Coordinator

19. Carlos Rodrigues
Clinical Development Manager
Delos Wilbur
IT – International
What about Efficiency ?
Examples
Pinnacle Smart Enterprise upgrade
Alberto
Sanchez-Reyes
Head of Medical Physics
Mario Martinez
Manuel Jimenez

20. Clara Jover
Medical Physicist
Gary Bee
Application Integration Specialist
What about Efficiency ?
Examples
Pinnacle Scripting … preparing for SmartPlannning
Automated
processes

21. What about Efficiency ?
Examples
AutoContouring
Raul Matute
Radiation Oncologist
Adriana Fondevilla
Radiation Oncologist
Rafael Garcia
Radiation Oncologist
Automated
processes

22. What about Efficiency ?
Examples
Equipment QA
Site X
Site Y
Site Z
IMOncology
Physics Team

23. ¿ Questions ?