26th November 2018  
Let’s build the future together
Europe is changing under the pressure of events! At the Brexit endgame, new perspectives concerning effective governance in EU are on the table. The impact on civil society is growing, as recently observed at the Paris Forum organized during the First World War centenary ceremony. All efforts are required to stabilize European cohesion, and to maintain social protection and free healthcare access. Looking ahead to the upcoming Parliament election in May 2019, UEHP is preparing a questionnaire dedicated to MEPs Candidates to include Health at the center of the European debate.
Europe matters in healthcare and data protection, as confirmed by a recent judgement in Portugal concerning the GDPR application. An important fine was applied to a hospital failing in personal data protection. Cooperation between professionals is necessary to include legal constraints and to share efficient solutions. We build the future now altogether. That is the core message we expressed during our recent Master Class dedicated to Risk Management with European experts, meeting organized with SHAM in our Brussels Office. UEHP supports healthcare professionals working together!
Dr Paul Garassus
President of UEHP
Debating the future generation of Hospital Risk Management at the hearth of the EU
UEHP-SHAM Master Class on “New Generation of Risk Management”, Brussels – 20 November 2018
On 20 November, the European Union of Private Hospitals organised a Master Class on New Generation of Hospital Risk Management. The event was organised in close partnership with SHAM - Hospital Mutual Insurance Company – European leader in hospital risk.
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.
In this context, UEHP and SHAM teamed up to organise an interactive working session on innovation in hospital risk management in Brussels, at the hearth of the EU. During this one day session, participants could 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 from all over Europe. 
The Master Class offered a platform to discuss on the latest trends on Risk management, as well as to network with top European Executives and Risk Managers and discuss about experiences, problems and best practices.
We had an intensive full day working session with participants coming from 8 different European countries and experts sharing their knowledge on how Risk Management is evolving. The Master Class was structured around three main sessions, each tackling significant aspects of Risk Management: 
  1. RM in a mutating environment (decentralised vs centralised healthcare, legal framework and impact on providers, economic risk and sustainability);
  2. Healthcare data (benefits of data analytics, AI, data mining, workforce training); 
  3. Ecosystems and best practices (use of benchmark and multi-contributors, claim management). 
Both UEHP and SHAM teams wish to deeply thank all participants and speakers for their valuable contributions. We will build on the outcomes of this important initiative and keep sharing knowledge and possible solutions to mitigate risks and keep ensuring the best quality and safety of treatments to all patients. 
UEHP joined the campaign Health in All Regions
The @UEHP_Brux has also joined the #HealthinAllRegions campaign! The multi-stakeholder partnership is taking shape and we are eager to start cooperating to ensure #HealthinAllRegions across Europe http://www.euregha.net/healthinallregions/ … Together for a shared #VisionforHealth
1st EU Health Summit, 29th November, Brussels
UEHP is among the 28 European organisations that teamed up to organise this forum to raise awareness on the topic of the Health in all policies: health matters to all and must remain on the top of the EU agenda! During the event a set of ten recommendations signed by all partners will be presented to the EU Institutions.
Information and registration : follow this link
2nd Convention Health Benefit, 9-11 December, Vienna
UEHP involved in the high level discussion on its implementation
"Health Benefit" is the first campaign that promotes excellence and innovation in interdisciplinary communication between health and tourism, because tourism and health do not exclude each other - but they do not necessarily form a synergy!
The 2nd Convention Health Benefit is a ceremony of Health Benefit Campaign in 2018, as well as the kick-off event for year-round activities in 2019. The 2nd Convention Health Benefit will take place from 9th to 11th of December 2018 in Vienna again, this year at two attractive locations - for the second time in the Hofburg Palace and for the first time in Kursalon Hübner.
Health Benefit have the purpose to discover and promote innovative solutions to health and premium solutions to quality of life! About Convention please see details here
The Vienna Medicon Forum is part of the 2nd Convention Health Benefit and is thematically linked to the first one:
  • Staff shortages and the importance of customer and employee satisfaction in tourism and healthcare
  • Stigmatization of old and sick people in tourism and related investment opportunities
  • Role of vacation in the prevention of long-term sick leave
  • Telemedicine in terms of the current data protection
You are also welcome to participate and to share your expertise and experience with us. Please order your delegate accreditation here.
UEHP, partner of the 11th Austrian Health Economics Congress
13 March 2019, Vienna
This year again, UEHP will be partner of the 11th Austrian Health Economics Congress. Over 400 participants from Austria and surrounding German-speaking countries are expected to attend the 11th Austrian Health Economics Congress, in Vienna at the Austria Trend Hotel Savoyen on March 13, 2019. 
At this central meeting, Managers and Entrepreneurs from all sectors of industry with 85 speakers and panelists will report and discuss on innovative concepts and projects in 14 sessions. This year’s aim is positioning the industry of the future for further social debate.
Up-to-date informations and direct registration are still available with an early booking discount at www.oegwk.at
News about the congress with all informations from the health economics are available to order at https://www.oegwk.at/newsletter.html
GDPR Fine Against Portuguese Hospital Puts Healthcare Providers in Alert
The first large fine within Europe has been imposed for violating the EU General Data Protection Regulation (GDPR) in Portugal. Due to irregular access to patient data, the Portuguese public hospital has been fined a total sum of EUR 400,000 for two GDPR infringements.
The Portuguese data protection authority CNPD (Comissão Nacional de Protecção de Dados) announced Monday October 22, 2018 that Centro Hospitalar Barreiro Montijo (CHBM) is fined for two violations of the GDPR.
The hospital has been fined for non-compliant access to privacy data, as too many people had access to patient information, an infringement which has imposed a fine of EUR 300,000.
Secondly, the hospital has been unable to document that they can "ensure the confidentiality, integrity, availability and permanent resilience of treatment systems and services" which led to a fine of another 100,000 Euros. The hospital now wants to take legal action against the decision.
IT Audit Reveals Unrestricted Access to Patient Data
An audit by the Data Commission stated that the hospital operator "deliberately" ensured, that users with "technical" profiles in the IT systems could access data that should only be accessible to doctors. A test determined that a technical profile within the framework could be created with unlimited access.
In addition, a total of 985 active users with a "doctor" profile were registered in the system, although in 2018 only 296 doctors had been assigned to the hospital. The hospital has attempted to explain the discrepancy with temporary profiles in the framework of a service contract.
ASPE receives the New Medical Economics Award
The Spanish Private Health Alliance (Alianza de la Sanidad Privada Española – ASPE) has been distinguished with the New Medical Economics Award, in the category of “Internationalization of Spanish activity”.
Left: Cristina Contel, President of Alianza de la Sanidad Privada Española – ASPE
The award has been handed to its President Cristina Contel, also vice-President of UEHP. In her speech, Cristina Contel highlighted the importance of the collaboration between private and public healthcare sectors in Spain, placing the Spanish NHS at the top of the European health systems ranking list.
Among the reasons that have made ASPE worthy of this distinction, is the co-creation by ASPE of Spaincares, a health tourism cluster, which promotes the quality of Spanish healthcare facilities and tourism around the world, encouraging the venue of medical tourists in Spain.
Likewise, the fact that the President of ASPE was elected Vice-President of the European Union of Private Hospitals (UEHP), the attendance of ASPE Secretary General Carlos Rus at a healthcare leader meeting in Mexico, or the organization by ASPE of the 1st Iberian Summit of Private Health, have also been strong reasons to obtain this award.
The Spanish Private Health Alliance federates more than 600 health facilities and represents about 80% of the private hospital sector in Spain. The private sector represents 56% of the total number of Spanish hospitals. ASPE strives to give value to the private healthcare sector in Spain, which employs more than 260.000 professionals and represents 3.5% of Spanish GDP.
French hospital federations united to defend their tariffs
United, the French hospital federations organized a press conference to alert the government to the fragile economic, financial and social situation of public and private health establishments in France.
On November 6th, along with the other 3 French hospital federations (FEHAP, FHF, Unicancer*), the Federation of Private Hospitalization (FHP) alerted the French Government to the deleterious situation of health facilities and denounced an hospital budget far from sufficient.
Representing all the hospitalization in France, and given the importance of health issues, the presidents of the four hospital federations have called together the President of the Republic, the Prime Minister and the Minister of Solidarities and Health to make their proposals heard and preserve hospital budgets.
While they welcome the orientations of the "My Health 2022" plan launched by the President of the Republic, the French hospital federations have however recalled the context of economic fragility of all institutions: the means provided are insufficient and the effects of this plan will only be felt in a few years. However, health establishments must to have sufficient financial means to ensure patients daily and continuous equal access to care of proven quality.
After suffering a decline in hospital fees for six consecutive years, the situation of health facilities is precarious. Also, in order to find room for manoeuvre to carry out their mission of care and to follow a real social policy, they ask for a rise of hospital tariffs, which are today not any more in adequacy with the reality of care costs and French health issues. This rate increase is a real necessity to preserve the financial balance of these establishments.
Health facilities have respected the planned spending targets in 2018 and have even under-executed them : the hospital federations are asking for the full refund of the hospital credits frozen as part of the prudential reserve.
FEHAP - Federation of Private non Profit Hospitals and medico-social institutions
FHF - Federation of public hospitals
Unicancer - National Federation of Cancer Treatment Centers
FHP – Federation of Private Hospitals
APHP goes to Brazil
Oscar Gaspar, president of the Portuguese Association of Private Hospitals (APHP), participated in two important health events in Brazil.
The first event, the National Congress of Private Hospitals, took place in São Paulo, from the 7th to the 9th of November and was organized by the National Association of Private Hospitals (ANAHP). This 3-day congress gathered about 2.500 participants around numerous debates and lectures on relevant issues such as efficiency, ethics, financing, focus on the patient, value based healthcare, etc.
Right: Oscar Gaspar, president of the Portuguese Association of Private Hospitals (APHP)
The Congress also featured a large exhibition area where health companies showcased various products such as clinical and management technologies, medical devices, pharmaceutical industry, etc.
Oscar Gaspar´s presentation entitled "The future of the health sector in Portugal – Where are we heading to? - Trends and challenges in the health sector and in the NHS", highlighted the strong growth of private hospitals (due to factors such as orientation towards innovation and digital technologies, focus on the patient, the emphasis on value and quantification of results regarding each patient and their comparison with the associated costs) and gave some information on health challenges (demography, technology, knowledge, sustainability) which are currently being addressed in Portugal. Mr. Gaspar concluded that more investment in health will be necessary, that health should be a national priority, that the sustainability of the Portuguese health system requires new solutions and that the articulation between institutions and sectors will be fundamental.
The second event, the FIS - Health Innovation Forum which took place on the 12th of November in Rio de Janeiro, was organized by CBEX - Brazilian College of Health Executives. Oscar Gaspar was invited to share the Portuguese experience of PPP - Public Private Partnerships in Health. Information on the terms and results of the 4 hospitals managed under PPPs in Portugal was made available, pointing out that the model allowed hospitals which are part of the National Health Service, to use the investment capacity and management methods of the private sector with, as a result, significant savings for the State. Ten years after the beginning of the contracts, evaluations show that objectives have been achieved (hospitals built without any financial or time slippage, control of health care expenditure, guaranteed access, clinical excellence) and recent hospitals in PPP reach the top of clinical excellence in the NHS. A very valued aspect in the Forum was the "experience" of citizens in hospitals and the good example of PPP hospitals in this area, with various inquiries showing that people feel they are welcome, well treated and well accompanied.
These 2 events show that the private hospital sector is very strong and dynamic in Brazil. Assembling about 3,000 people in 2 events, sharing experiences and engaging foreign speakers is commendable and gives cohesion to the industry.
The mobilization achieved, the absolutely professional organization, the scope and level of the debates and the examples and experiences presented show that Brazilian private hospitals are capable to highly contribute towards the challenges that the Brazilian health system, with its specific characteristics but like any other, faces.
Swiss Medical Network, a multi-faceted group
What is the place of your hospitals group within the Swiss healthcare system?
Swiss medical network is one of the two leading private hospital groups in Switzerland. With 19 clinics and medical centers located in the three language regions of the country, patients from Switzerland and abroad receive first-class hospital treatments, care and nursing. With our presence in 11 cantons, our hospital group is an important partner in political discussions and negociations at federal level.
What are the lastest news and projects in your clinic group?
We recently took over the surgical activity of the Siloah clinic in the canton of Bern. As part of this acquisition, Swiss Medical Network will safeguard jobs and will invest CHF 5 to 10 million in infrastructure development over the next three years. The services and regional positioning of this interdisciplinary site will be strengthened by the integration of those activities into a group with strong national roots.
In parallel, we also acquired the two medical centers of MedGate (Solothurn and Zurich Oerlikon). We attach great importance to the development of integrated services.
Which topics will occupy you most in the coming years?
In general, we are closely monitoring the development of healthcare and seeking innovative solutions that address the needs and expectations of patients.
In the short term, there is the question of financing outpatient care. The financing patterns for inpatient and outpatient care strongly differ from each other, especially with regard to the part supported by the state (i.e. the cantons). Paradoxically, this situation benefits inpatient care and disadvantages ambulatory care. This also contributes to the explosion of healthcare costs and significantly burdens the insured persons’ budget.
In your opinion, in which way does your group best contribute to public health in your country?
The health system in Switzerland is complex. Federal laws are enforced by the cantons. So we have 26 cantons and potentially as many different systems. Our intercantonal activities give us a very good overview of these divergences, positive and negative. Our contribution is to point out the dysfunctions and to change some of the cantonal health practices. For this we favor private-public partnerships. In this way, we aim to demonstrate to the population and the authorities the complementarity of both private and public sectors, in order to create a fair competition and stabilize costs while maintaining a high quality of services.
Swiss Medical Network Group ensures that the identity of each of the clinics belonging to the group is respected. Each clinic maintains and even reenforces its regional integration in order to provide high-level quality of care to the local population. The group membership offers new perspectives: networking, exchange of experience and digitalization support.
What should be done to increase the proportion of private clinics in Europe?
In Europe as well as in Switzerland, health systems are in full development. The various stake holders question their role in the future. Respecting the needs of current and future patients, investing in innovative solutions and ensuring that efficiency and cost-effectiveness are always paramount, is essential for anyone wishing to play a role in the future. In this regard private clinics, or at least some of them, today seem to be better positioned.
Swiss Medical Network SA belongs to Aevis Victoria SA, which also owns a hotel group managing five luxury hotels in Switzerland, a hospitals and hospitality real estate division comprising 44 properties, Medgate, the leading telemedicine provider in Switzerland, and NESCENS SA, a brand dedicated to better aging.
29 November
EU Health Summit
8 February 2019
UEHP General Assembly
13 March 2019
11th Austrian Health Economics Congress
7 June 2019
UEHP Council Meeting