Management Consulting Services
Our management consulting service
Improve your healthcare services
Skåne Care can help you start new innovative services or enhance quality, increase efficiency or cut costs within existing services, building on the Swedish healthcare model. Our experienced medical professionals and healthcare managers collaborate on-site with your project managers and team to determine your needs and define your vision. We support you every step of the way, from the initial needs assessment phase until you have achieved lasting, sustainable change.
Hospital management – transferring the Swedish model
Our areas of expertise range from establishing cost-effective working methods and developing healthcare processes that maximise value for patients to fine-tuning clinical activities by introducing the most advanced treatment methods.
Our experienced teams can help you develop tools for monitoring, documentation, quality assurance, and evaluation systems to achieve the highest international standards in clinical care. Such tools can also include advanced information and communication technologies that improve patients’ clinical health status, educate the healthcare workforce, and conduct research. We can also support your efforts in recruitment, staffing, training and education components for medical and administrative staff.
Creating and maintaining cutting-edge facilities
Skåne Care is the link to one of Sweden’s largest public services organisations within property management. Every year in Skåne, our facilities team maintains 1,200,000 m2 of properties and plan and implement up to 600 building projects – from smaller renovations to billion-dollar projects. To facilitate medical professionals at our large number of hospitals and clinics, experts in our team create professional and coordinated solutions for effective processes, seamless logistics, and optimal plans for building projects. We can work with you in planning, designing, and building facilities for all levels of healthcare.
Please contact Chief Program Development Officer Petra Menander Åhman for further information about our healthcare management services.
Three examples of fast-track care
Shortening time in hospital
Swedish healthcare builds on the principles of equality, needs priority and cost-effectiveness. In Skåne there is a continuous drive to improve patient care with these principles in mind and as a result several initiatives have led to unique solutions which benefit both patients and hospitals.
FAST-TRACK HIP AND KNEE SURGERY
The specialist orthopaedic unit at Hässleholm Hospital is one of the largest arthroplasty units in Scandinavia with 1,700 hip and knee operations per year and it has reduced in-patient care days from six days to two days through applying a holistic, patient-centred approach based on the latest international research. This includes a tailored exercise program before and after surgery, the use of general anaesthesia instead of spinal anaesthesia, and initiating movement of the joint shortly after surgery and thereby increasing the blood flow and reducing pain. The result is an increased quality of care with shorter hospital stays and faster recovery, as well as cost savings of around 20 million SEK per year.
Benefits for patient: Less pain and fewer complications, faster recovery and fewer nights in hospital.
Benefits for hospital: Increased quality of care, cost savings, time savings.
CLINICAL COLLABORATION FOR FASTER STROKE CARE
Stroke patients at Skåne University Hospital in Malmö receive unique, multidisciplinary fast-track care. The stroke care in Malmö is among the fastest in the world with administration of clot-dissolving treatment within eight minutes after arrival at hospital (the Swedish national guidelines state that treatment should be given within 40 minutes). It is a multidisciplinary collaboration between the emergency ward, the radiology department, the neurology department and the ambulance staff. The method was developed with focus on patient needs, and involves a dedicated stroke team and adapted facilities with a tomography unit next to the ambulance arrival zone.
“To minimise the damages incurred by a stroke it is of vital importance to receive the correct treatment as quickly as possible. It is of great benefit to the individual patient, and it also reduces the cost of care.”
DR JESPER PETERSSON, HEAD OF DEPARTMENT OF NEUROLOGY AND REHABILITATION MEDICINE, SKÅNE UNIVERSITY HOSPITAL
Benefits for patient: Higher chance of survival and reduced risk of severe damage and complications.
Benefits for hospital: Improved organisation and collaboration across disciplines, cost savings, time savings.
HEART MONITORING FROM THE COMFORT OF YOUR HOME
The pacemaker unit at Skåne University Hospital in Lund implemented remote heart monitoring already in 2007 and today about 1,000 patients are connected to the electronic system. The data saved in the pacemaker or defibrillator/ICD is transmitted to the clinic through a GPS receiver in the patient’s home. Regular reports are sent to the clinics so that the medical staff can check diagnostic data such as the patient’s heart rate, if any atrial fibrillation has occurred or if the implanted defibrillator has been activated. This is of great benefit to both patient and clinic. Patient safety has increased due to the regular monitoring and the medical staff has freed up time to focus on the patients with more severe problems at the clinic. Today only 25% of ICD patients come to the clinic for check-ups. An additional benefit of continuous monitoring is stroke prevention, as early detection of atrial fibrillation means that preventative care can be initiated.
“The demographic shift towards an ageing population means that patient numbers are increasing. Medical resources must be allocated carefully to ensure that the patients who need it the most get medical appointments. Telemedicine is an important part of the solution, while providing added benefits such as increased flexibility and safety for the patients.”
DR RASMUS BORGQUIST, HEAD OF ARRHYTHMIA UNIT IN LUND, SKÅNE UNIVERSITY HOSPITAL
Benefits for patient: Increased patient safety, less travel and waiting time.
Benefits for hospital: Focus on patients with greatest needs, cost savings, time savings.
example facility set-up
next generation of hospitals
In 2010, one of the most modern facilities for emergency, trauma, and infection was completed at Skåne University Hospital. It was designed in close consultation with medical experts and uniquely planned from an infection control perspective. The modern architecture and ventilation technology help reduce the risk of infection so severe infection cases can be addressed without the infection spreading to staff or other patients.
Skåne University Hospital has one of the largest and busiest trauma and emergency facilities in Sweden, treating over 140,000 patients annually. The new department was planned with optimal logistics in mind to focus on the patient and enable staff teamwork. The result is fast and functional healthcare, conforming to the highest national and international standards.
Continued large-scale investments at several sites in southern Sweden will create the next generation of hospitals fully adapted to the demands of patients, modern technology, and environmental sustainability.
A case study
Geriatric care in Skåne
GERIATRIC CARE: HOME CARE AND MOBILE TEAMS
Life expectancy in Sweden is at an age of 82 years among the highest in the world and it is predicted that a quarter of the population will be over the age of 65 in 2050. At the same time Sweden ranks globally as one of the top three countries for quality of life for older people, according to the Global AgeWatch Index 2015. Sweden has an established system for publicly financed, high-quality care of elderly in institutions and in advanced home care. 95% of the population over the age of 65 live at home and have the right to apply for assistance. In Skåne, a healthcare model has been developed specifically for elderly patients in home care to ensure patient-centred, efficient and accurate care.
INTEGRATED CHAIN OF CARE FOR THE ELDERLY
Region Skåne has developed an efficient and patient-focused chain of care based on the needs of the elderly. It involves mobile care teams, direct referrals and fast-track care for specific medical needs, all contributing to speedy and accurate treatment.
THE MEMORY CLINIC: A UNIQUE CONCEPT
Skåne University Hospital is at the forefront in dementia care and has a Centre of Excellence built around a Memory Clinic, one of the largest such clinics in Northern Europe with 8,000 annual visits, 4,000 of which are doctor’s appointments. It is a modern facility with no in-patient wards in accordance with best evidence-based practice. At the out-patient ward, the clinic has a multidisciplinary set-up with different specialists working in teams to give each patient individualised care. In addition, mobile teams of physicians, nurses and social workers work to address the medical needs of dementia patients when and where they occur, i.e. at nursing homes, other clinics or in the patients’ homes.
The Memory Clinic is comprised of a Memory Outclinic, mobile teams, a Memory Health Unit, an internationally leading university research group, a Dementia Knowledge Centre with regional and national responsibilities, a Clinical Trials Unit, and the Swedish BPSD Registry – a national quality registry on dementia-associated disorders. This combination of expertise in the one and same organisational unit is unique in Sweden and has enabled the Memory Clinic to take clinical, research, educational and societal outreach activities to an excellent level for the benefit of dementia patients in Skåne, Sweden and internationally.
EXAMPLES OF HEALTHCARE METHODOLOGY IN SKÅNE
ADVANCED HOME CARE
Children and adults who are in need of palliative care are offered advanced medical care at home as an alternative to hospitalisation. Patients with chronic disease can also be offered advanced home care for a limited time.
Benefits of advanced home care:
- Offer patients more options.
- Improve the quality of life for patients and those closest to them.
- Reduce the number of hospitalisations.
- Encourage early release from the hospital.
A multi-disciplinary team is available 24 hours a day, 7 days a week to provide high-quality, advanced care based on the patient’s physical, psychological, social, and existential needs. The team can include physicians, nurses, physiotherapists, occupational therapists, dieticians, and counsellors. This team approach addresses a variety of needs while ensuring patient safety.
Care providers collaborate with research teams at Lund University to continuously develop and implement evidence-based quality of care. In addition, care providers and academia collaborate with highly skilled companies in the region’s vibrant life science and information technology clusters to develop interactive eHealth tools. These tools create new opportunities to provide healthcare and health information that can make patients who receive home care feel safer and be more involved in their care.
In Sweden, primary healthcare forms the foundation of the healthcare system that is highly available to the population. More than 100 healthcare centres in Skåne provide the population with basic healthcare, rehabilitative care, and preventive care (including lifestyle interventions) that do not require the medical and technical facilities of a hospital. Almost all healthcare centres have a specific department for children’s health and nearly half have maternity healthcare centres.
Every day, primary healthcare centres in Skåne receive about 12,000 visits and 11,600 phone calls. Through e-solutions, patients can also directly contact the healthcare system or access medical journals, information, and facts.
In our patient-centred care, a first point of contact with a general practitioner, nurse, physiotherapist, occupational therapist, dietician, counselor, or psychologist, is offered depending on the patient’s needs. Primary healthcare centres work in close cooperation with specialists and refer patients if necessary, so patients receive the right level of care.