Cases
Collaboration model options & implications for a rare pediatric disease
Customer
Patient organization and a group of pediatricians of different Belgian hospitals.
Goal of the project
The pediatricians want to collaborate to create a higher scale and build more expertise. Our mission was to develop the collaboration model, the implications (for patients, physicians, financials, …) and the stakeholder engagement plan (notably hospital management and policy makers).
We started from their draft vision, which we jointly adjusted and formalized during the project, based on analysis of the models used in the neighboring countries.
Our approach
Map the consequences of the different decisions: financial impact, impact on physicians & nurses and impact on patients (e.g., travel time)
Elaborate the collaboration & processes.
Get stakeholder buy-in for the future model, notably from the broader group of oncologists and hospital directions.
Outcome
By the end of the project, the group was aligned on their vision and way forward; they were ready to present it to policy makers and hospital directions
Financial impact of moving colectomy from traditional hospitalization to surgical day center
Customer
Abdominal surgery department of a university hospital.
Goal of the project
Assess the financial impact of moving a colectomy surgery from a traditional admission (with several nights of stay) to a one-night stay or a daycare surgery.
Our approach
We built a financial model, covering income, costs and profit per surgery, based on internal hospital data and publicly available reports, combined with expert interviews and review sessions.
The model allowed to flexibly change the most relevant parameters: days of stay, home visits for follow-up, number of blood draws, …
We presented the results on an Early Recovery Program in Rectal Cancer symposium
Outcome
Financial analysis will serve as input for policy / reimbursement discussions when the pilot project on daycare colectomies is finished (expected in 2023).
Customer
Belgian hospitals & home care organization.
Goal of the project
Our approach
Assess the operational & financial impact of switching to a new patient pathway, leveraging home care nurses to perform the collection of a blood sample and anamnesis at the patient’s home on the day before the patient visits the hospital.
Based on a mix of expert interviews, data analysis and scenario simulations, we came to the following conclusions:
The patients experience strongly reduced waiting times during the daycare visits (>40% reduction) and avoid unnecessary visits when analysis shows the treatment needs to be postponed
Hospitals can substantially increase the capacity of their oncology day center (order of magnitude 30%) when working with home care if they successfully manage to adjust their internal processes at the same time (information flow, doctor way of working, pharmacy…).
This is financially beneficial for hospitals when considering the key constraints (e.g., keep on using the hospital lab for blood analysis)
The level of implementation differs strongly between hospitals: some are already seeing >50% of new patients entering the new pathway while others are still exploring the idea
Outcome
Increased momentum for hospitals to start or accelerate the implementation of the trajectory
Other cases
Assessment of a cardiology division
Optimal organization of food supply chain
Medical and financial plan review and improvement opportunities for a large ambulatory center
Clinical trials at home opportunity assessment
Real-World Evidence opportunity for home care organization
Market scan of healthcare logistics suppliers
“Fair remuneration” calculation for AXXON
Acquisition opportunities market scan for pharma company
Better transition from hospital to home care
