Johan Permert's (Development and Innovation Director, Karolinska University Hospital, Sweden) presentation from the Hospital + Innovation Congress 2015.

1. What should have been done
differently?
Johan Permert, M.D., Ph.D. Professor
Director
Development and Innovation
Karolinska University Hospital, Stockholm Sweden

2. ?

3. Health Care has
challenges!

4. Knowledge
Methods

5. HC
Knowledge
Methods

6. • Treatments!
• Known!
• Wanted!
• HC have to deliver!

7. • Treatments!
• Known!
• Wanted!
• HC have to deliver!

8. • Treatments!
• Known!
• Wanted!
• HC have to deliver!

9. • Treatments!
• Known!
• Wanted!
• HC has to deliver!

10. • Society
• HC
Challenges!

12. • Shakespeare
• Antique dramas

14. Medical content
Processes of care

15. Medical treatment• Not intended
variation
• Industrialization
• Patient centric
• Medical domain
knowledge

16. Patients
Diseases
Citizens
Profile of
pathology

17. Patients
Diseases
Citizens
Profile of
pathology

18. Patients
Diseases
Citizens
Profile of
pathology

19. Consumer
devices HC Consumer
devices
Technology in HC

20. Consumer
devices HC Consumer
devices

21. Consumer
devices HC Consumer
devices

22. Consumer
devices HC Consumer
devices

23. Society
Science
Technique
Information
Demands
HC
Values

24. Society
Science
Technique
Information
Demands
HC
Values

25. Society
Science
Technique
Information
Demands
HC
Values

27. Karolinska – ett av Europas största
universitetssjukhus
• 1,6 miljoner patientbesök årligen
• 15 500 medarbetare
• 14,5 miljarder SEK i omsättning
• 2 500 forskare
• 2 400 vetenskapliga artiklar per år
tillsammans med KI
• 1 145 miljoner i externa FoU-bidrag
27

28. Health and medical service
network - vision
Page 28Plan for the Future, stage 2

29. En unik satsning
 Det första nya sjukhuset av denna storlek i
Sverige på 40 år
 Här ska de allra svårast sjuka patienterna få
vård i världsklass
 Det största enskilda projektet någonsin för
Stockholms läns landsting
 Första sjukhuset i Sverige som byggs enligt
OPS
29

30. Byggstart
Idén lanseras i
landstingsstyrelsen
”3S-utredningen”
Beslut om nytt
universitetssjukhus
Formgivningstävling
Projektprogram
OPS-upphandling
klar – avtal skrivs
SNUS-
utredningen
Sjukhuset öppnar
Sjukhuset helt
färdigbyggt
(höst)
Nya Karolinska Solna –
från idé till nytt sjukhus på 16 år
Beslut att bygga NKS (april)
Beslut om OPS-upphandling (juni)
Start OPS-upphandling (oktober)
Formgivningstävling
Avgjord – White vinnare
fick uppdraget 2012
Beslut on FAS och NKS
verksamhetsinnehåll
30

31. What should we have done
differently!?!

32. 1

33. Health and medical service
network - vision
Page 33Plan for the Future, stage 2

35. Themes and function areas
Periop. &
ICU
Bild & funktionLabbAcut Health-
professions
Barn & Kvinnosjukvård
Hjärta-Kärl
Cancer
Inflammation & Infektion
Trauma & Reparativ Medicin
Neuro
Åldrande

36. Collaboration within and between
organizational units
”Shared ownership" collaboration is the way
to succes
T
Function area
Resources distributed whitin themes / funktion
areas
Goals and incentives shared between themes /
funktion areas
PO/VO
1
PO/VO
2
PO/VO
3
Shared evaluation criterias for themes and
function areas
Theme

37. 2

38. Public Privat Partnership

39. 3

40. §!

41. §! X= tools

42. §! X

43. §! XX = tools

44. !

45. 20152000 2030
! !!

46. Medical content
Processes of care

47. !
2015
!!

48. !
tools
2015

49. 4

50. §! X = tools

51. MT
IKT
IT
Future healthcare
- From volume to value. Now and in the future.
- Innovation-promoting behaviour
X

52. Partnership
Innovation
Value

53. 5

54. !
X= tools
2015

57. Creativity = recognizing
possibilities in patterns

58. Entrepreneurship
= fighting for ideas when
everyone says
it is impossible