INTEGRATED CARE- THE CASE OF HÄLSOSTADEN AND RAMSAY SANTÉ

CARL-JOHAN ROBERTZ, MD MEDICAL INNOVATION DIRECTOR

2020, August 19th

ramsaysante.com THE CHALLENGES OF SWEDISH HEALTHCARE

1. Ageing population 2. Lack of cooperation between different parts of the healthcare system 3. Delivering care at the right level 4. Staffing HÄLSOSTADEN Health city Ville de la Santé

A collaboration for total health GRÄNSLÖS VÅRD OCH OMSORG

Public and private Primary care Hälsostaden Public Municipality

2020-08-20 4 SensibleSensible carecare •• PersonPerson centeredcentered •• ProactiveProactive •• IntegratedIntegrated The pyramid of medical complexity

High complexity Multliple medical needs

Chronic conditions with need for acute intervention

People with symptoms and risk factors

The healthy population Prevention SYGEHUS

High complexity Multliple medical needs

Mobile teams: geriaticians, nurses GRÄNSLÖS VÅRD OCH OMSORGfrom hospital or primary care and municipality

- 98% prevention of visit to ER - 99% prevention of hospitalization

2020-08-20 9 CHALLENGES Merging cultures IT Scaling up Financial -reimbursment Legal Giving up power ESTABLISH ARENAS FOR BUILDING RELATIONSHIPS OUTSIDE THE ORGANIZATION

FIKA WE ARE THE 2ND LARGEST PRIVATE CARE PROVIDER IN EUROPE WITH A SIGNFICANT FOOTPRINT ON KEY EUROPEAN MARKETS

86 general 71 specialized clinics 27 rehab facilities

6 healthcare transport companies 45 emergency departments

133 primary care centers 49 mental health facilities

800 operating rooms 80 imaging equipment 15 robots

36,000 FTEs Acknowledged 7,600 liberal doctors 7m patients quality-leader in all > 200,000 short-term contracts 20m consultations our countries 36,000 deliveries WITH THE ACQUISITION OF CAPIO IN NOVEMBER 2018, RAMSAY SANTÉ HAS BECOME A COMPREHENSIVE HEALTHCARE PROVIDER

1) Excluding consultations (approx. 18,000k) 2) Excluding doctors who are self-employed

13 Ramsay Santé – DI Healthcare Location Share of group total (2019) Market positioning TRANSFORMATION BEYOND A HEALTHCARE PRODUCTION MIND-SET

SERVE PREVENT PREDICT Traditional transactional Serve, prevent and monitor. Relevant health and care services healthcare focus – Moving care to a digi-physical Our customers/patients will stay mostly physical care platform healthy longer. Truly data driven

Today 2019-2021 2021… LEARNINGS FROM COVID-19

1. Accelerated use of digital consultations inf and . • Example Capio Go (Capio primary care online) increased by 100% 2. Rasmay Santés hospitals in France has been part of the French crises management. Hospitals has increased ICU-beds. Increased responsibility for post-Covid rehabilitation and mental health issues. More than 20 research projects relating to Corona-treatment.

Lasting effect: Private health-care companies integral part in crisis–management. Digital maturity increased in both staff and patients, and hopefully political stakeholders. Carl-Johan Robertz Medical Innovation Director Ramsay Santé Innovation Hub [email protected] +46 709305925