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Working for the Global Healthcare 1
Working for the
Global Healthcare
Web-based Trade and Donate Tool for
Appropriate Re-use of the Second Hand Medical
Equipments
| Health Systems Institute
Overview:
Big changes in U.S. healthcare market
A Promising opportunity for global healthcare
How these opportunities can be put into
action: brief description of a proposal
How proposed system will work
Main stakeholders in the system
Knowing more about the stakeholder's culture
is necessary: current healthcare system in
Turkey 2
Big changes in U.S. healthcare market
Largest hospital construction program in US
history
In 2004;
$ 37 billion dollars in construction
38,000 hospital beds
2,000 acute care projects
199 complete hospitals
590 expansions
1,136 renovations
(Modern Healthcare, 2006)
Big changes in U.S. healthcare market
1,700 separate applications for
Certificate of Need in 2005, in only 20
states
(C-Suite Research project funded by RWJF,
PI: Craig Zimring, Healthcare/' >GaTech)
In 2-5 years, 86% of US hospitals intend
to build a new building
(Harris Interactive,
2006)
By 2010 healthcare construction is
expected to exceed 54 billion dollars
(FMI, 2006) 3
Big changes in U.S. healthcare market
WHY is this big change?
Changing demographics
Aging baby boomers
Increasing # of sick people
Increasing sickness levels
Big changes in U.S. healthcare market
WHY is this big change?
Evaluations of statistical reports
According to IM 2004 reports;
medical errors: 98,000 people died
hospital acquired infection: 88,000 people
died 4
Promising opportunities for global
healthcare
We will face the BIG transformation in US
healthcare industry in the following 10-20
years!
The scope of those BIG transformations:
Advanced methods in diagnosis: EBM
Healing Care Settings: EBD
Effective IT solutions: EMR
A Promising opportunity for global
healthcare
Is the BIG transformation only necessary for
US?
Efficient re-use of
2
nd
hand
medical equipments
May be,
we can do something
for Global Health! 5
How this opportunity can put into
action?
Proposal
Web-based IT system with multi-disciplinary
stakeholders
Task of proposed IT system;
to track the renewal processes of the hospitals
to tack the 2
nd
hand medical equipment
announcements
to supply a safe environment for trading
to supply an efficient and well integrated system for
donating
to be an achievement in the effective re-use of the
medical equipments
How to make it happen? Overview of the Phases
Documentation >> Design >> Development >> Control & Updt.
Phase1
Phase2
Phase3
Phase4
A Promising opportunity for global
healthcare
Exploratory
comity
System design &
management comity
IT design comity
IT
Development
Comity
System
management
comity
System
management
& Survival
comity 6
How this opportunity can put into
action?
What is critical in this proposal?
ll RELY ON PROCESS
Proper alignment
Max/ efficient engagement of stakeholders
Understanding business strategies and culture of
the organizations
Documentation of organizational characteristics
of main stakeholders
How proposed system will work?
Proposal Layout
Develop your own
Business strategy:
Use the current
opportunity on
behalf of the
Worlds supply and
demand balance /
good recourse use/
assessment
AHA Moment/
Inspiration Point:
Consideration of a
Promising
Opportunity based
on an
organizational and
country scale
transformation
IT strategy:
web based secure
and well integrated
trade and donate
design tool
IT Application
** Assessment
** Selection
** Design
** Development
Consider the
business initiatives
to apply the business
strategy:
appropriate
recycling of 2nd
hand medical
equipment
>> helpful to test the
rationality of the opportunity
which is considered as
promising from the general
research/documentation but
not organizational level
search
Understanding the
insights of this
change/opportunity
Macro & Micro Scale
Understanding the culture and
strategies of the stake holders Healthcare/' class='doin' >
Macro & Micro Scale 7
Main stakeholders in the system
Stakeholders of the system
International:
US hospitals
Medical equipment providers
(technical service)
Not-for-profit organizations
Shipping firms
Volunteers
Sponsors
National:
OSC government
Ministry of Health
Customs Service
Standards Office
Undersecretaries
for Foreign Trade
Not-for profit organizations
OSC hospitals
public & private hospt.
Co-offices for-profit org.
Shipping firms
Current healthcare system in Turkey
A deeper understanding about the stakeholders is
NECESSARY!
Healthcare system in Turkey: receiver country
Public Healthcare Org
HC providers: National hospitals,
university hospitals, village clinics,
specialty hospitals,
HC supporters: Social Security
Ministry, Ministry of Health
Private Healthcare Org
HC providers: private hospitals, doctor's
office, imaging centers, outpatient clinics
HC supporters: private insurance
companies 8
Current healthcare system in Turkey
Health Expenses:
According to 2006 reports;
> Health expenses by public HC org. is equal to 4.1% of
the GDP
> green-card : 0.9%
GREEN-CARD: application to provide
healthcare to people who are low income
and in-able to pay for their health expenses
> treatment and health: 0.7%
> medication 0.7%
> Similarly this ratio was 2.44% for private sector HC
organizations
Current healthcare system in TurkeyHealthcare/' class='doin' >
Macro Scale Public Healthcare Org.
Social Security Ministry
Social Security Chamber : responsible for
global social security policies. And SSC have
budget for insuring individuals` healthcare
plans
.3 sub-organizations serving to different
populations for social security benefits
and applications of healthcare policies
SS Institution
SS Org for artisans and self-employed
SS Org for retired and low income 9
Current healthcare system in Turkey
Social Security Ministry > Social Security Chamber > 3 sub Org.
SS Institution:
insures working class both working in the public or
private sector
SS Org for artisans and self-employed
Insures self employed working in the private sector and
they are given optional health plans with different charge
and coverage.
SS Org for retired and low income
Insures the government employees both retired and
currently working and low income people
Current healthcare system in TurkeyHealthcare/' class='doin' >
Macro Scale Public Healthcare Org.
Ministry of Health: responsible for deploying
the healthcare strategies and policies for cost
effective and safe and better quality
healthcare and put them into action in the
organizations and healthcare providers. MH
has budget available for expenses of
hospitals, all public hospitals belongs to MH. 10
Current healthcare system in Turkey
BudgetHealthcare/' class='doin' >
Macro scale healthcare organizations have their budgets
from the GDP such as;
Ministry of Health: 3.19% (2006)
[60% personnel salary, 8.1% investment, 28.1% current exp]]
Social Security Ministry 12.1% , (2006)
[76% health, %20 insurance exp.]
Retirement fund: 5.6%
SS for artisans and self employed: 3.9%
SS Institution: 3.8%
Not all the budget from the GDP reserved for SSO are used for healthcare!!
Current healthcare system in Turkey
Healthcare Expenses from GDP;
Management: 39%
Medication: 51%
Medical Equipment: %7
Treatment Expenses: 0.04% 11
Current healthcare system in Turkey
Micro Scale Public Healthcare Org.
Public hospitals budget;
Ministry of health
Circulating capital
Donations
City private parental authority
Health expenses of individuals
Current healthcare system in Turkey
Micro Scale Public Healthcare Org.
National Hospitals 814
Specialty Hospitals
15
University Hospitals
52
Other Hospitals:
16
Village Clinics
5,936
District Clinics
40
Health Asylum
11,740
Maternity Home
9
Children's Hospital
2
Mental Health Hospital
1
Dental Health
9
Outpatient Clinic
213
Health Stations
178
All the public HC providers are in the SS chamber reimbursement network 12
Current healthcare system in Turkey
Private HC Sector
Provider/Micro Scale
** No big organizational structure, city campuses
** Private sector is self-employed but responsible
for Ministry of Health in term of application of the
regulations.
** Many of them are located in big cities, Istanbul
(44.2%), Izmir (5.5%) , Ankara (5.2%), Antalya