UEHP  
  25th September 2018  
 
Get stronger
Brexit, Article 7 at the European Parliament, taxes on importation, all the recent news show major international difficulties within the EU and abroad. But with a positive understanding of the actual situation, welfare states in Europe continue to resist pessimism and develop a well-being culture.
Ten years after the 2008 economic crisis, the challenge is to adapt our collaborative process to new rules. Healthcare providers contribute to protect and to serve European citizens, constantly innovating and developing modern services using e-health and private management skills.
Concerning our professional involvement, please note two important dates in your agenda. First, at the end of September in Warsaw, the UEHP Council Meeting, which will be centered on a specific analysis of the current Polish situation and the development of the private sector in Eastern Member States.
Second, on the 20th of November in Brussels, UEHP very first Master Class with our partner SHAM, dedicated to the new multifactor transition in Hospital Risk Management. Complexity in healthcare sector includes technology, epidemiology, society and regulation. All aspects will be studied and commented by experts, with high-level presentations and an open discussion for top managers. We continue to get stronger as we continue to work together!
Dr Paul Garassus
President of UEHP
 
       
 
LATEST NEWS
UEHP-SHAM Master Class
New Generation of Risk Management
UEHP is organising a MASTER CLASS on “NEW GENERATION of RISK MANAGEMENT”, in close partnership with SHAM - Hospital Mutual Insurance Company – European leader in hospital risk.
The Master Class will take place on Tuesday, 20th November, in Brussels at UEHP headquarter (Avenue de la Joyeuse Entrée, 1 B - 1040). 
During this one day session, participants will benefit from a selective panel of experts and counterparts to foster active contribution, interactivity, mutual thinking and share lessons learnt from various experience and concrete actions.
In a context of multi-factor transition faced by European healthcare systems, a new set of complexities arises:
  • new technology implementation,
  • relationship with patients,
  • social networks,
  • regulation according to national laws and European directives.
Those factors are changing equilibrium with potential underlying risks going beyond current resilience. Risk Management offers levers to secure and optimize operations, with the need for an innovative approach to adapt to emerging and evolving risk profiles.
We are targeting Top European Executives (CEO, COO, Risk Manager, Medical, Legal Director) from private hospitals/clinics in all Europe, with a special focus on four leading countries (but not exclusively): France, Germany, Italy and Spain.
Join the debate! On one hand, your experience, knowledge and activity could be a valuable contribution to the discussion. On the other hand, the Master Class will be the occasion for you to learn more about the latest trends on Risk management in Europe, as well as to network with other top European Hospital Managers and discuss about your own experiences, problems and best practices.
Master class’s programme and objectives: Follow this link
For registrations and information: secretarygeneral@uehp.org
 
FOCUS
POLISH PRIVATE HEALTHCARE SECTOR
Private hospitals in “Hospital Network”
On 1st October 2017 the reform of Health services introduced by the Ministry of Health entered into force a “Hospital Network” planned to be financed by public funds in the form of a lump sum. In June 2017, a list of 593 hospitals included in the “Hospital Network” have been published. Among them there were 61 private entities.
Dr Andrzej Sokołowski, President of the Board
Polish Association of Private Hospitals
Out of 61 private hospitals included in the Network, 31 are members of the Polish Association of Private Hospitals, PAHP. Hospitals that are included in the Network can expect stabilization in the form of a lump sum payments in a four-year horizon. Hospitals that have not been included in the Network can apply for contracts in tenders announced by the National Health Fund in order to obtain income from public funds.
Market share Polish Association of Private Hospitals (PAPH)
In 2016, the hospital sector in Poland comprised over 930 entities conducting hospital activity. The share of public hospitals was 58%, while that of private hospitals - 41%. Private hospitals associated in the Polish Association of Private Hospitals, PAPH represented about 5% of all hospital beds in Poland (15% of the total number of hospitals). The average occupancy rate was 52% vs 66.2% in public hospitals. PAPH private hospitals employed ca. 10% of doctors and ca. 6% of nurses and midwifes.
In 2016, the share of PAPH private hospitals having contract with the National Health Fund accounted for 76% compared to 91% a year earlier. The decrease in the value of contracts with NHF affected the scale of activity of PAPH private hospitals, the number of patients and hospital beds occupancy. The national payer still financed over 60% of the medical revenues of PAPH private hospitals.
Sales income of PAPH private hospitals was mainly correlated with the value of contracts with the National Health Fund. Lower contract value, lower scale of hospital activity and practically constant structure of operation costs resulted in lower net profit.
The instability of the entire health care sector, including the conditions of activity of private hospitals, in particular, does not create profitable circumstances for growth and de velopment for private hospitals.
The construction of the financial model of the private hospitals is similar to the model of public hospitals, where the main source of revenues is generated by the contract with national payer, the National Health Fund. The private hospitals sector complements the public sector in the area of medical services reimbursed by NHF.
Unfortunately, the decrease in the level of contacts with National Health Fund for private hospitals results in higher and higher unexploited resources of hospital beds, equipment and medical staff. The potential of private hospitals sector is crucial for improving the quality and availability of publicly funded health services, especially when waiting time for patients for many medical services are still calculated in months or years rather than in days. The opportunity for the private hospitals sector is to change the model of financing and to build new model friendly to patients based on private health insurance.
Central Procurements for the PAPH
The Central Procurements of the PAPH and the Medical Procurement group originated from the need to combine purchasing volumes for private outlets, utilizing the purchasing power in negotiations with suppliers and streamlining cooperation principles that generate savings and organizational benefits on the basis of many years of experience.
The dominant objective of Central Procurement is to reduce the costs of purchasing goods and medical supplies, drugs, services, energy, gas, equipment, insurance and others, as well as to optimize expenses in medical facilities.
Medical portal for Patients of private hospitals in Poland
The www.BezpiecznyZabieg.pl medical portal helps Patients choose the best medical facility for surgery or medical treatment throughout Poland. Our website recommends specialized hospitals and clinics that perform medical operations and treatments with the highest standards of medical procedures. You will find here the best specialists guaranteeing the highest quality of treatments and a high standard of service in the nearest possible location throughout Poland. All medical facilities presented on the portal have received the recommendation of the Polish Association of Private Hospitals. As a result of the verification process of medical services, Association gave recommendations to medical facilities that meet the highest criteria of medical procedures.
Medical tourism in Poland – an area of very high potential
For Private clinics and hospitals medical tourism can be regarded as a new option of development. in 2017 about 172,000 medical tourists came to Poland. The increasing interest in medical tourism in Poland results from internal and external factors. Internal ones include: better preparation to serve foreign patients, an extended promotion on the international market and a rise in service quality for medical tourists. An external factor is the worsening economic situation in Russia, which leads many Russians to skip higherpriced markets such as Germany in favour of the cheaper Polish offer. 55% of all Germans can imagine to go abroad for medical treatment and 5% have already done so. The main motives are lower costs (53% of answers).
 
MOLDOVA
Bringing new insights into the healthcare experience in Moldova
The International Hospital Medpark, the founder member of the Union of Private Healthcare Providers of the Republic of Moldova (UIMSP), marked this summer with its iconic art project “In their eyes”.
"In their eyes, the patient is the center of the Universe" With this generic slogan an itinerant portrait exhibition is traveling throughout Moldova both physically and virtually for the last months.
In the eyes of doctors we see borderless care, long hours of work, life stories, sparkling little victories, and great miracles. Their trust, the hope and the endless believe in human dignity remain in their eyes.
In their eyes we find the person behind the surgical masks and the gowns - the life-saving individual.
Olga Schiopu, the UIMSP president and the director of Medpark International Hospital commented the launching of the project: "This exhibition started with Medpark’s motto Out of respect for life, with love for people. We wanted to give new insight into our work. Healing people is one of the oldest and very complicated professions, it is a commitment and a self-dedication, and, not least, it is an art, the art of loving and helping people, which we wanted to present through the prism of photography. We value the contribution of our medical professionals to the results of our hospital. Being a doctor is not an easy job. That is why this art project is a tribute to those who practice this noble profession in spite of all the challenges. "
The itinerant exhibition consisting of 29 artistic photos that look deep into the doctors’ eyes has been already presented to the larger public in Chisinau’s Organ Hall, in the State University of Medicine and Pharmacy, medical institutions and most attended public places. The idea to mainstream art and photography in the medical institution’s day to day life aims to raise the awareness of the broader society towards the importance of the mission carried by the healthcare professionals in the context of various challenges Moldovan health system is facing, including the brain drain and mass migration of medical personnel.
The International Hospital Medpark - the first modern, private, multi-disciplinary city hospital is a unique institution in Moldova where over 200 renown healthcare professionals with national and international expertise work, using modern technologies, innovative approaches and highly performant solutions to bring new insights into the healthcare experience in Moldova.
Visionner la galerie de portraits
https://client.alexiordache.com/medparkalexsselection/
 
       
 
REPORT
POLAND
Medicover, a private hospital group on the rise
Medicover Poland is part of Medicover, a leading international provider of healthcare and diagnostic services, operating since 1995. At the end of 2017, Medicover was taking care of over one million patients throughout the world. The company is present in all regions of Poland as one of the leaders on the private healthcare market.
In 2009, the company opened its own multi-profile Medicover hospital in the Warsaw's district of Wilanów, which provides patients with comprehensive care, including laboratory and imaging diagnostics with the use of state-of-the-art equipment, as well as medical procedures, surgeries, and rehabilitation.
The Medicover Hospital is composed of eight specialised clinics, including obstetrics, surgery, internal diseases, anaesthesia and intensive care. In February this year, the hospital launched the Eye Surgery Clinic, which offers the latest methods of surgical correction of sight defects and cataract surgery. The scope of urology care has been extended to include prevention, diagnostics and the full range of operational activities (including robot-assisted da Vinci Surgery). In April this year, the Medicover Hospital was accredited by the Ministry of Health, which is the confirmation of high quality standards and safety of treatment and services.
As the company is active in both private and corporate sectors, we can see a steady increase in the number of patients who decide in favour of hospital care packages. Consequently, in the coming years we intend to invest in medical competence, expanding our hospital offer with new specialisations and services. We keep on developing gynaecology and obstetrics intensively. Up to 2017, there were more than 5,000 births at our hospital. In the near future, as part of our day-and-night hospital admissions, emergency orthopaedic assistance services are going to be launched. Currently, the hospital provides 24-hour assistance for children and adults, 7 days a week, in the fields of internal medicine, paediatrics, child surgery, cardiology, adult surgery and gynaecology.
A clear market advantage of the Medicover Hospital is the quality of its services. In the next years, we intend to uphold this trend by investing in the implementation of innovations, purchasing modern medical equipment and building medical teams with complementary competencies. The hospital ensures the effectiveness of patient treatment, safety and access to modern solutions due to its cooperation with market leaders in selected therapeutic areas. These facilities include HIFU Clinic (Prostate Cancer Treatment Centre) and Rehasport Clinic, the leading Polish centre specialising in orthopaedics, rehabilitation and sport medicine.
FRANCE
ELSAN, a growing private hospitals group
Which is the place of ELSAN in the French health care system organisation ?
Elsan, France’s second largest private clinics group, developed very rapidly in the past two years. In 2017, Elsan acquired the 3rd French private clinics group MédiPôle Partenaires, only two years after Elsan’s creation with the merger between two other groups: Vedici and Vitalia.
Elsan operates 120 middle-sized clinics,  disseminated all over the country, employs 25.000 people and counts 6.500 practitioners. It represents 20 % of the private health care sector activity in France and welcomes 2 million patients each year.
What are ELSAN’s latest news ?
Despite being a big group, we keep the entrepreneurial spirit of a start-up, that we would like to keep in order to have a positive impact on our sector. Our ambition is to have a leading position in healthcare transformation in France while pursuing our mission consisting in offering high quality, innovative and human health care services to all and everywhere. 
One of our current projects is to enhance the development of e-health in France. Elsan cooperates with Docapost, a national leading operator in digital health transformation and patients data hosting, in order to make digital patient roadmaps available to all patients. A Elsan/OpinionWay survey from March 2017 reveals that 59% of French people would like to access e-health services. Docapost and Elsan will then join their know-how and national network in order  create secured digital platforms to coordinate the work of health care professionals for each patient during and after clinic stays. The first solutions will be available by the end of 2018.
With this partnership, Elsan aims to improve the quality and the relevance of health care services delivered with a more effective exchange of information upstream and downstream. Those new services will be particularly useful for the follow up of patients with chronic diseases and for those who don’t easily have access to medical care, especially in ‟medical deserts”.
What are ELSAN’s greatest concerns for the coming years ? 
Our health care system is very fragile and out of breath. The deficits of public hospitals are reaching historical and critical levels. About 150 private clinics out of 1.000 in France are also at risk. The organizational system must be completely redesigned. In addition, the sector is undergoing a transformation with many technological and therapeutic innovations. Our entrepreneurial spirit, our agility and our presence all over the territory are major assets to be a responsible leader of those transformations.
 
 
AGENDA
 
       
 
26 September 2018
Paris
Journée FHP –Dans un nouvel environnement politique, quels enjeux et quelles actions pour un acteur de santé ?
28 September 2018
Warsaw
UEHP Council meeting
3 - 5 October 2018
Gastein
European Health Forum Gastein
20 November 2018
Brussels
UEHP-SHAM Masterclass on “New Generation of Risk Management”