“Value Based Health Care, deciding together – these are terms that are high on the Dutch health care policy agenda in 2018 and that guide the decisions of health care managers and health care professionals. However, health care and the health care organization will have to be reinvented in order to give real substance to these concepts.
Maastricht UMC+ felt the need to invent health care anew as early as 2009. Together with our staff, we embarked on a journey to make ourselves of greater value to our patients. We started with two pilot projects, in Orthopaedics and Dermatology. The intention was to make health care much more patient focused, to develop a good relationship between outcomes obtained and effort put in, and in this way to increase our powers of implementation and change for the necessary organisational and process changes. Our colleagues were challenged to develop a completely new concept of health care. In pursuit of this goal, we were the first in the Dutch health care sector to use the Business Model Generation© method. This produced a vision on health care and a business model. We chose Lean Six Sigma methods and coaching leadership for making changes to our organisation and processes.
This was just the start of our journey. The pilots also appealed to other departments and they were keen to join us. In order to increase the size of our ‘travelling party’, we decided to take the company Medtronic on board as a partner. With the help of our partner’s knowledge and advice, based on its experiences in the workplace, we continued our journey.
We opted for an approach that worked top-down as well as bottom-up. Top-down because everyone has to take part in order for us to achieve greater coherence in policy and implementation. Bottom-up because real change emerges from the great enthusiasm among all our colleagues to generate greater value for our patients.
The common thread in our journey to Operational Excellence is that, above all, we make the connection between value based health care, care pathways and new systems of work. How we did this and how we want to develop it further in future is the subject of this book. It is neither a textbook nor a manual, but rather the report of our journey to date, which we would like to share with you. So that you can learn from it or engage us in discussion about it.
At Maastricht UMC+, we have taken significant steps together to further improve our health care and our organisation. We believe that the health care sector needs this, that we have achieved a lot, but that our journey is not yet over. We are travelling further, in order to make the health care we provide even better.”
Prof Marja van Dieijen, Chair of the Executive Board of Maastricht UMC+
Maastricht University Medical Center+ is known both nationally and internationally for its focus on prevention and taking an integrated approach to health care: from prevention, promotion of good health, and basic care, to top-level clinical diagnostics and treatment. Patient safety is our top priority in all of our endeavours. Maastricht UMC+ has 715 beds and approximately 7,500 employees and 5,000 students. Maastricht UMC+ is part of The Netherlands Federation of University Medical Centers.