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The Netherlands

The Netherlands. G io.Tettero@Siemens.com Managing Director. Key figures the Netherlands. Population 16,2 million age 1950 2003 2050 00-19 37,3 24,5 20,5% 20-64 55,0 61,8 54,2% 65 > 07,7 13,7 25,3% Health expenditure 12,6% of GDP (2004) Expenditure per capita 2002 euro 3255

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The Netherlands

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  1. The Netherlands Gio.Tettero@Siemens.com Managing Director

  2. Key figures the Netherlands • Population 16,2 million • age 1950 2003 2050 • 00-19 37,3 24,5 20,5% • 20-64 55,0 61,8 54,2% • 65 > 07,7 13,7 25,3% • Health expenditure 12,6% of GDP (2004) • Expenditure per capita • 2002 euro 3255 • 2003 euro 3512 (+7,9%) • 103 General hospital • Academic hospitals

  3. Financing Health Care 2005 Cure somatic care Resources 56% Personal 40%AWBZ I N S U R A N C E C O M P A N Y General hospitals 16% Patiënt 38%* 15% Deprecation 35%ZFW Academic hospitals euro 44 miljard 5% General Categorical hospitals 14%Particular 3% Ov. Hotel kstn Recuparate homes 3% Facility 2% Food 6% Other Mental care (8,1%) 5% Government Nursing care (22,3%) Disabled care (11,5%) * EXCL. MEDICATIONS Bron Zorgnota Ministerie VWS

  4. Trends • From To • Supply-driven Demand-driven • Working in isolation Working in unison • Work pressure/filing More time for the patient • Impenetrable Transparent • Centralized control Decentralized control • Waiting list Guaranteed treatment • Patient/insured party Customer • Cure Care • Hospitalization Remote treatment • Budget-driven Results-driven

  5. The Drive Cost Quality “Workflow in health care can and must be more efficient”

  6. Workflow of patient is diffuse

  7. Our challange

  8. Change of healthcare proces Outcome Prevention Patient Healthcare System Acute disease Senior care Rehabilitation Schedule Stay healthy Death Birth Care Management Trauma Sick, injured cured Stroke Recovery Cardio Disease Management 4 3 2 Patientflow MR X-Ray Treatment CT out Bed OP Moni- toring EPR in Intens. Angio Workflow Management US ... Medical Interaction Places OP 1 MR Beds Integrated OP Uro, Gastro, ... XR, CT Therapy Utilization Management

  9. Radiologie Diagnostisch Lab ECG OK, Oncologie, Cardiologie Registratie O&R Zorgpaden Therapeutisch Administratief Medisch Multi-disciplinair Document Mgt Medicatie Facturering Intensive Care Nazorg Revalidatie Zorg Integration clinical and operational proces

  10. Practice ….. Molecular Imaging Gentechnology Informatica Robotica

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