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What Works Staying Power What Works Staying Power Success stories in global healthcare KPMG International kpmg.com/whatworks A new vision for healthcare In healthcare, every patient is unique yet many of the challenges facing their healthcare systems are similar. KPMG practitioners spanning 155 countries in our global network help clients see their biggest issues clearly, delivering solutions that help change the face of health. Take a closer look at kpmg.com/healthcare Table of contents Introduction 04 Acknowledgements 06 Principles underlying healthcare transformation: How to do it 08 1. Long-term thinking for short-term problems 08 2. Question, challenge, criticize 11 3. Do not deviate from your chosen path 12 4. The future starts now 15 Practical ways to make change happen: What to do 16 5. Not just closer to home — but care at home 16 6. Information is power — but only when it is the right information 19 7. Engaged people deliver value 21 8. Change is not a one organization show 24 9. Patients are the solution — not the problem 27 Conclusions 32 Introduction ‘Keep calm and carry on’ is a typically in the UK or Geisinger Health System Finally, it became clear that under-stated British expression made in the US, the ability to maintain clear organizations which had transformed during times of uncertainty and change. values, vision and long-term goals — into health systems (vertically or The phrase might equally be applied while exhibiting tactical flexibility and horizontally) and authentically partnered to the tectonic changes taking place in organizational agility along the way — with patients were creating more value healthcare across the world. In this light, enabled sustainable progress to be through these new care pathways: KPMG gathered together 65 healthcare made. These organizations and others delivering superior quality at affordable leaders from 30 countries across exhibited some common characteristics costs. The ability to control and six continents to discuss effective that emanated from a humble but strong construct care pathways across and strategies for successful transformation. sense of purpose that could withstand between home, primary, community Our discussions were centered around external pressures. Of course, success and secondary care seems to offer seven key themes ranging from does not only come from discipline new possibilities for accountable care population health and accountable care but the ability to master tools and and population health, all supported by to clinical and operational excellence. techniques that give organizations the intelligent data. As Maureen Bisognano The pages that follow give but a glimpse edge and confidence to take controlled of the Institute for Healthcare of the insights shared between different and calculated risks. Improvement in the US put it, “Getting characters, cultures and countries (see overleaf for a list of those involved). What became clear throughout our discussions and provocations was, paradoxically, both reassuring and daunting. While a restless curiosity for improvement, coupled with an enthusiasm towards innovation, is essential for successful change and adaptation, it's the ability to stay the course that marked out truly exceptional people, performance and progress. Staying power or ‘persistence on point’ is needed to achieve sustainable results. This will reassure those with well-considered long-term goals but will daunt those easily distracted by fleeting fads, political fashions or ‘flavor of the month’ policies. As Jim Collins recounted in his story about Roald Amundsen and Robert Falcon Scott seeking to be the first to the South Pole in 1911, success came to the team that were most disciplined and displayed controlled consistency in the most trying circumstances. Whether it was the Keiju Healthcare System in Japan, Apollo Hospitals Group in India, Hospital Sírio Libanês, in Brazil, Discovery Health in South Dr. Mark Britnell — Chairman and Partner, KPMG Global Health Practice, UK; Rt. Hon. Jeremy Hunt Africa, University Hospitals Birmingham MP — Secretary of State for Health, UK 4 Staying Power: Success stories in global healthcare © 2016 KPMG International Cooperative (“KPMG International”), a Swiss entity. Member firms of the KPMG network of independent firms are affiliated with KPMG International. KPMG International provides no client services. All rights reserved. to the triple aim of better health, better care and lower cost will require new models of care....with patients and families as key drivers”. A report like this cannot do justice to all the discussions that took place but our guests and KPMG partners have co-produced this ‘practice-leadership’ piece in the hope that you will be inspired to ‘carry on’. Dr. Mark Britnell Chairman & Partner KPMG Global Health Practice @markbritnell Presentation available at: http://slidesha.re/1u2SX5N Maureen Bisognano — President and CEO, Institute for Healthcare Improvement, US Allan Yeo — KPMG in Singapore; Amit Mookim — India; Dr. Wang-Jun Lee — CEO and Chairman, MyongJi Hospital, South Korea; Nkata Chuku — KPMG in Nigeria Staying Power: Success stories in global healthcare 5 © 2016 KPMG International Cooperative (“KPMG International”), a Swiss entity. Member firms of the KPMG network of independent firms are affiliated with KPMG International. KPMG International provides no client services. All rights reserved. Acknowledgements: Speakers and guests We wish to express our sincere thanks to the participants and contributors to this report. Vektis Karolinska University Alberta Ministry of Health Mr. Herman Bennema Hospital Ms. Janet Davidson General Director Dr. Soki Choi Deputy Minister Monitor Project Leader of “Nya Nuffield Trust Dr. David Bennett Karolinska” Mr. Nigel Edwards CEO Queensland Department of CEO Institute for Healthcare Health, Health Service and Unfallkrankenhaus Berlin Improvement (IHI) Clinical Innovation Division Prof. Dr. Med. Axel Ms. Maureen Bisognano Prof. Michael Cleary Ekkernkamp President and CEO Deputy Director-General CEO Swiss Medical Group South Metropolitan Health The Society for Family Mr. Miguel Carlos Blanco Service Health Director General Prof. Robyn Collins Sir Bright Ekweremadu Adjunct Associate Professor Managing Director Buurtzorg Netherlands Health and Social Care Fundaçâo Antonio Prudente Mr. Jos de Blok Northern Ireland Mr. Irlau Machado Filho Director Mr. John Compton CEO Centers for Medicare & CEO Medicaid Services (CMS) Paul Corrigan Institute Gustave Roussy Ms. Julie Boughn, Former health advisor to the Mr. Charles Guepratte Former Deputy Director, Rt. Hon. Tony Blair Deputy CEO Center for Medicaid and CHIP Access Health Connecticut Alzheimer’s Society Services Former CIO Mr. Kevin Counihan Mr. Jeremy Hughes Menzis CEO CEO Mr. Roger van Boxtel All Party Parliamentary Virginia Mason Medical CEO Group on Global Health Center Memorial Sloan Kettering Lord Nigel Crisp Andrew Jacobs, MD Cancer Center Co-Chair Medical Director Murray Brennan, MD Médica Sur Wiener Vice President for Mr. Antonio Crosswell Krankenanstaltenverbund & International Programs CEO Magistrat der Stadt Wien Discovery Health Salford Royal NHS Prof. Dr. med. Udo Janßen Dr. Jonny Broomberg Foundation Trust CFO CEO Sir David Dalton Keiju Healthcare System Hospital Sírio Libanês CEO Dr. Masahiro Kanno Paulo Chapchap, MD West/North West Hospitals CEO Strategy Director Group Royal Liverpool and Mr. Noel Daly Broadgreen University Chairman Hospitals NHS Trust Mr. Aidan Kehoe CEO 6 Staying Power: Success stories in global healthcare © 2016 KPMG International Cooperative (“KPMG International”), a Swiss entity. Member firms of the KPMG network of independent firms are affiliated with KPMG International. KPMG International provides no client services. All rights reserved. NHS England Health Service Journal Humanitas Mr. Tim Kelsey Mr. Alastair McClellan Mr. Luciano Ravera National Director for Patients Editor CEO and Information Espria Public Health Foundation Faculty Hospital Brno Mr. Marco Meerdink of India Dr. Roman Kraus CEO Prof. K. Srinath Reddy CEO CZ President Foundation Hospital St Mr. Wim van der Meeren The Investment Fund for Joseph CEO Healthcare in Africa Mr. Jean-Patrick Lajonchere Life Healthcare South Africa Mr. Onno Schellekens CEO Mr. Andre Meyer Managing Director Hygeia Nigeria Limited CEO Apollo Hospitals Group Ms. Fola Laoye University Hospitals Lt. Gen. Dr. Mandeep Singh Chairman Birmingham Director Medical Services MyongJi Hospital NHS Foundation Trust KPJ Healthcare Berhad Wang-Jun Lee , MD Dame Julie Moore Ms. Datin Paduka Siti Sa’diah CEO and Chairman CEO Sheikh Bakir Department of Health of University College London Corporate Advisor the Canton Zurich Hospitals St Joseph’s Health System Mr. Hansjörg Lehmann NHS Foundation Trust Canada Head of Health planning Sir Robert Naylor Dr. Kevin Smith and control CEO President and CEO Peking University Singapore Health Services Geisinger Health System Prof. Ling Li Prof. Ivy Ng Dr. Glenn Steele Professor Group CEO President and CEO United Family Healthcare National Health Service National Voices Ms. Roberta Lipson Sir David Nicholson Mr. Jeremy Taylor Chairwoman Former CEO CEO NHS Leadership Academy Department of Health Ms. Karen Lynas Ms. Una O’Brien Assuta Medical Centers Deputy Managing Director Permanent Secretary Mr. Pinhas Tsruya CEO Health and Social Care Department of Health Board Northern Ireland The Royal Marsden NHS New South Wales Ms. Pamela McCreedy Foundation Trust Ministry of Health Director Ms. Cally Palmer Mr. Ken Whelan Deputy
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