Tecnomatix Plant Simulation Worldwide User Conference 2015

Digital Hospital Planning

Smooth Operation through Simulation

Stuttgart – Weilimdorf
June 16th, 2015

Gime Batija

Management Consultancy “Tecnomatrix Plant Simulation

for future-oriented corporate management User Conference 2015

Clients Globally, more than 200 Business activities for healthcare:

Blue-Chip-companies as well as SMEs, clients of the following Foresight and strategy
more than 800 client projects within 18 industries trust us: development
years
Healthcare Management Digital clinic planning
Execution and Medical Engineering Process management
from the initial concept to execution
Automotive OR-Simulation
Global Presence IT-Management
Pharmaceuticals and
EU, Asia, Middle East, Americas
Chemistry Combination of management
Founded methods from industry and
Energy
1995 hospital experience
Aerospace
100+ completed, successful
Manufacturing
hospital projects

Productivity & Revenue

Best-practice
Modern
Growth & Knowledge across
Management
the Product
Knowledge Investment Security Lifecycle

Competitive Advantage

Our approach is based on the Four-level Model We possess Best-practice Knowledge across the
of Future-oriented Corporate Management. entire Product Lifecycles for tomorrow’s markets.

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 Tecnomatix Plant Simulation Worldwide User Conference 2015

“Tecnomatrix Plant Simulation

Selected References User Conference 2015

Verification of the building planning Digital hospital planning OR-Simulation

Simulation to validate the operational and
organizational concept
Validation of the planned room resources
Increase in Efficiency
Compliance with the working hours
Simulation to validate the planning stage
Secured planning of spatial resources
Increase in efficiency at an unchanged total
building area
Verification of the building planning for the
operation theatre
Secured layout
Prioritized recommendations for action
Definition of the resources needed in the OR

Simulation Emergency ambulance Process definition and simulation OR-Simulation

Definition and validation of the operational
and organizational concept
To-be concepts for efficient processes
Staffing concept for operation
Requirements on IT and organization
of an emergency ambulance and elective
admission unit
Optimized processes in the emergency
ambulance and elective admission unit
Revealed and optimized bottleneck situations
Reduced wait and turnaround times
Definition and validation of the operational
and organizational concept
To-be concepts for efficient processes
Validated operational concept
Revealed savings

Process definition and simulation
of an emergency ambulance
Optimized processes, layouts and staff
planning
Handling of the future patient volumes
Target planning for the infrastructure
Development of a sustainable master plan
for the hospital building infrastructure
Preferred option by costs and benefits
Roadmap / masterplan of action for building
development
Establishment of OR-Management
To-be process design and implementation
support
Increase of the OR utilization
Reduction of short-term surgical
cancellations
Reduction of overtime

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“Tecnomatrix Plant Simulation

Benefits of Digital Clinic and Simulation User Conference 2015

Process simulation OR simulation Digitally verified layout

Example: Emergency department Example: Simulation of central OR Example: constructional target plan
Enhancing cases; reducing
Reducing waiting times and Target layout for increase
changeover times;
processing times in efficiency
dimensioning; equipping

TIME Reduce planning time and ensure a smooth start-up

COSTS Establish standards and minimize investment costs

QUALITY Achieve high satisfaction of patients and employees

Efficient medical operational and organizational processes within innovative

building structures lead to measurable benefits for the clinic’s daily business.
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 Tecnomatix Plant Simulation Worldwide User Conference 2015

Process Model “Tecnomatrix Plant Simulation

OR Simulation User Conference 2015

Potential Analysis

1 Strategic Goals
Visualized as-is processes with rated strengths and weaknesses, immediate measures
Basic data for the simulation (e.g. number of cases, case spectrum, surgery times)

Target Concept

2 Visualized target processes

Process characteristics with key figures
Requirements for organization, IT and infrastructure

Simulation

3 Validated processes and measures

Layer systems per scenario
Proven space program and OR area layout

Recommendation for action

4 Implementation plan and next steps

Organizational recommendations

The simulation complements the conventional planning approach. Different

target processes (e.g. parallelism) and numbers of operations are dynamically
displayed and evaluated in terms of the impact on facilities and staff.
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Functionality of the Simulation Model „Tecnomatrix Plant Simulation

“Tecnomatrix
OR Simulation User Conference 2015“
2015

Processes Ressources
To-be processes ‘operating a patient’ and Opening hours of ORs
‘planning surgery’ Allocation of ORs to departments
Staffing
To-be layout

2008 2011 Ziel 2015

Alle Eingriffe 7.000 7.050 7.400
Chirurgie 2.900 2.600 2.900 Cleaning of ORs
Unfallchirurgie 1.750 1.800 1.850
Gynäkologie
Urologie
1.350
1.000
1.250
1.400
1.300
1.350
Delays according to normal
distribution
Number of patients based on as-is data Transport of patients
analysis Patients and physicians
Adjustment according to the predicted Duration of central preparation or
number of cases cut-suture-times
Patients Disruptions
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 Tecnomatix Plant Simulation Worldwide User Conference 2015

“Tecnomatrix Plant Simulation

OR Simulation User Conference 2015

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Simulation Result “Tecnomatrix Plant Simulation

Achieving the number of cases User Conference 2015

Simulation model Conditions

Central preparation facilities with 5 places
Sum of cases Simultaneous setting-up
80% in OR-room, 20% external
11 anesthesiologists
1 additional setting-up team
Number of surgeries

Opening hours: 8.00 – 16:00

Results and comparison

OR-numbers
To-be model: 9,063
(As-is model: 7,745)
Additional surgeries: 1,318
OR-rooms Changeover time
To-be model: 32.4 minutes
(As-is model: 57.1 minutes)

The to-be model with 9 ORs and central preparation facilities as well as
simultaneous setting-up achieves 9,063 surgeries per year. That means an
increase of 14,5% in comparison to the as-is model.
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 Tecnomatix Plant Simulation Worldwide User Conference 2015

Thank You for Your

Attention!
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