QUALITY REPORT 2017/18 “THE THERAPY MADE SENSE. MY KNEE IS BACK IN SHAPE FOR MY SHOW GIPFELTREFFEN – AND MY FINGERS FOR MUSIC.” WERNER SCHMIDBAUER WERNER SCHMIDBAUER PRESENTER AND SINGER-SONGWRITER YOU WERE LOOKING AROUND FOR A SUITABLE REHA BILI TATION CLINIC BEFORE YOUR CRUCIAL KNEE OPERATION. YOU QUICKLY CHOSE THE MEDICAL PARK CHIEMSEE REHABILITATION CLINIC IN BERNAU- FELDEN. WHY? The facility exudes great calm; this is wonderful and was absolutely the right decision. Everybody, from the head doctor to the cleaning staff, was incredibly nice. To this day, I only have the best memories of my stay. WAS THE DECISION ALSO STRAIGHTFORWARD BECAUSE, ALONGSIDE ORTHOPAEDICS, THE CLINIC SPECIALISES IN SPORTS MEDICINE – A VERY IMPORTANT AREA FOR YOU? Yes. I was a triple jumper and skier during my youth. To this day I present a programme for Bavarian TV in which I climb a mountain with celebrities. It is good to know that the doctors and therapists there are also specialists in this area. And what is equally important is that the Medical Park Chiemsee rehabilitation clinic also employs psychologists. Until my stay there, I had no clue that they could be important. I have a foreign object in my body – a so-called bicon- dylar sledge prosthesis – which has stabilised my knee, but which caused me mental stress. I immediately received psychological support, which helped me enormously. FOLLOWING YOUR FIVE-WEEK STAY, YOU WERE AN OUT- PATIENT OF THE MEDICAL PARK CHIEMSEE REHABILITATION CLINIC FOR SEVERAL MONTHS. To begin with, I travelled to Bernau two to three times a week to restrengthen my muscles and to make the ligaments in my knee more resilient. At the moment, I only manage if there are one or more free days during a tour. But I am very glad that the therapists have shown me practical exercises that I can do both on the tour bus and during concert breaks. MEDICAL PARK IN FIGURES 91PERCENT RECOMMENDATION RATE by our patients – testimony to our acceptance levels. 70PERCENT 2,500ROOMS EQUITY RATIO offering hotel comfort shows that Medical Park and the highest standards to is a crisis-proof employer that assist in your recovery. is able to innovate. > 3,000EMPLOYEES 90PERCENT BED OCCUPANCY RATE make up a team of highly qualified doctors, therapists, demonstrates demand nurses and service staff. among patients. MEDICAL PARK LOCATIONS IN GERMANY Lower C Saxony Berlin Brandenburg Saxony- Anhalt North Rhine- Westphalia O Saxony Thuringia Hesse A B Hof Rhineland- Coburg Palatinate Würzburg Czech Republic N Nuremberg Regensburg Baden- France Württemberg Bavaria Passau M Munich K G, H I, J D, E, F L Switzerland Austria WHAT MEDICAL PARK CLINICS OFFER Internal Psycho- Orthopaedics Neurology Oncology medicine somatics A Bad Camberg B Bad Rodach Berlin C Humboldtmühle Bad Wiessee am D Kirschbaumhügel Private Clinic Bad Wiessee E St. Hubertus Bad Wiessee am F Kirschbaumhügel Specialist Clinic Bad Feilnbach G Blumenhof Bad Feilnbach H Reithofpark Chiemsee I (Bernau-Felden) Chiemseeblick J (Bernau-Felden) K Prien Kronprinz L Loipl MEDICAL CENTRES OUTPATIENT CENTRES STROKE CENTRE BERLIN ( C ) CITY MED, MUNICH ( M ) ST. THERESIEN, NUREMBERG ( N ) BORUSSIA MÖNCHENGLADBACH ( O ) CONTENTS “LEARNING TO WALK AGAIN AT 84 YEARS OLD – THE SAME JOY I FELT WHEN MY SON TOOK HIS FIRST STEPS.” NEUROLOGY PAGE 24 “I WANT TO BE HEALTHY AND I WILL GET BETTER. I PROMISED MYSELF THAT.” NURSING PAGE 82 2 “ALL OF MY HOPES HAVE BEEN WONDERFULLY FULFILLED HERE.” ORTHOPAEDICS PAGE 6 “ WHO KNOWS? MAYBE I’LL GO KITE SURFING IN HOLLAND AGAIN ON E DAY.” INTERNAL MEDICINE PAGE 48 “ THE LAKE AND THE MOUNTAINS EXUDE SUCH IMMENSE CALM THAT THEY ALREADY REDUCE STRESS.” PSYCHOSOMATICS PAGE 70 CONTENTS MEDICAL PARK LOCATIONS COVER FLAP MEDICAL PARK IN FIGURES PAGE 1 EDITORIAL PAGE 4 ORTHOPAEDICS CORONARY HEART DISEASE PAGE 62 REPORT PAGE 6 MITRAL VALVE DISEASE PAGE 64 HIP REPLACEMENT AFTER OSTEOARTHROSIS CHRONIC HEART FAILURE PAGE 16 PAGE 66 KNEE REPLACEMENT ARTERIAL OCCLUSIVE DISEASE AFTER OSTEOARTHROSIS PAGE 67 PAGE 18 INTESTINAL SURGERY AFTERCARE BACK TREATMENT PAGE 68 AFTER SPINE OPERATION PAGE 20 CONSERVATIVE BACK TREATMENT PAGE 22 PSYCHOSOMATICS REPORT PAGE 70 DEPRESSION NEUROLOGY PAGE 78 3 REPORT ANXIETY AND SOMATOFORM PAGE 24 DISORDERS THERAPY 4.0 PAGE 80 PAGE 35 POST-TRAUMATIC AND PHASE B ADAPTATION DISORDERS PAGE 40 PAGE 81 PHASE B: STROKE PAGE 42 PHASE C PAGE 44 NURSING PHASE D REPORT PAGE 46 PAGE 82 INTERNAL MEDICINE PATIENT RATING REPORT RECOMMENDATION AND PAGE 48 SATISFACTION PAGE 92 GENERAL CARDIOLOGY PAGE 60 AORTIC VALVE DISEASE PAGE 61 PUBLICATION DETAILS PAGE 96 MEDICAL PARK QUALITY REPORT 2017/18 EDITORIAL DEAR READERS, Thank you for picking up our latest quality report. In this edition, we would like to show you once again how we pursue our require- ments concerning quality leadership with no ifs and buts. Our motivated employees work with state-of-the-art facilities to achieve the best possible rehabilitation success with our patients. This is a high demand, whose success we want to make quantifiable as far as possible – by means of objective medical findings, but also through the evaluation of feedback from our guests and patients. Using graphical reports, we will tell you about real patients and their therapies at our facilities – and all the intensive rehabilitation phases. It is sometimes a roller coaster of emotion, but all of the stories are emboldening. And, last but not least, informative insights are revealed into the typical experiences of our patients. Because even if each treatment is personal: you, a relative, a friend or an acquaint- ance could have the same experience or similar during a rehabilitation stay. 4 It is not only clear from these stories that we place particular emphasis on viewing our work from the point of view of our patients, but also when it comes to the assessment of the success of our therapy. This is why we have used new question- naires on health-related quality of life for the first time. You can find these important results transparently reproduced in the chapter on facts and figures. Furthermore, we present you with new nursing and therapy concepts that can result in higher patient motivation and, in turn, greater therapeutic success. No matter whether you are affiliated with us as a cooperating professional colleague, a patient, family member or in another way, we are delighted to have been able to win you over with our first quality report, and we hope for the same with the second edition. We wish you an inspirational read. MEDICAL PARK QUALITY REPORT 2017/18 EDITORIAL 5 DR. MED. ULRICH R. MAUERER JOHANNES KNEISSL CHIEF EXECUTIVE OFFICER DIRECTOR OF CENTRAL (CEO) QUALITY MANAGEMENT MEDICAL PARK QUALITY REPORT 2017/18 LEG AXIS TRAINING The red ball, called a jumper, is filled with air and is therefore rocky. Johannes Rieger, the physiotherapist, stabilises Schmidbauer’s thigh with a Thera-Band to bring the hip, knee and foot into one axis. ORTHOPAEDICS “ ALL OF MY HOPES HAVE BEEN WONDERFULLY FULFILLED HERE.” Werner Schmidbauer, 56, had three fingers oper- ated on. Just three weeks later, he was fitted with a new prosthetic knee and came for so-called follow-up treatment at Medical Park Chiemsee in Bernau-Felden. That was absolutely the right decision, he says. Everybody, from the head doctor to the cleaning staff, was incredibly nice. 7 A MATTER OF PRACTICE Stretching, flexing, bending, exerting – rubber slings, in which the therapist hangs Schmidbauer’s feet or hands, also help with regaining fitness in everyday life. MEDICAL PARK QUALITY REPORT 2017/18 ORTHOPAEDICS THE PUSH OF A BUTTON During regular ultrasound scans, Dr. Christina Valle reviews the healing process following the operation. For example, how resilient Schmidbauer’s knee has become. FINDINGS While the doctor examines Werner Schmidbauer’s knee with the probe, he can see what Dr. Christina Valle is explaining to him on the screen at the same time. MEDICAL PARK QUALITY REPORT 2017/18 ORTHOPAEDICS MEDICAL ROUNDS On a daily basis, the doctor visits the patient in his room. They can then discuss the results of the examination together, like Werner Schmid- bauer and Medical Director Prof. Dr. Marcus Schmitt-Sody here, and determine the therapy for the next few days. 9 “ HERE THE PATIENT ISN’T JUST A NUMBER, BUT A PERSON WHO SHOULD BE CONSID- ERED AS A WHOLE.” PROF. DR. MED. MARCUS SCHMITT-SODY, RESULTS MONITORING HEAD OF ORTHOPAEDICS AT CHIEMSEE Prof. Dr. Marcus Schmitt-Sody runs two Medical Park rehabilitation clinics on Lake Chiemsee, the one in Bernau-Felden and the Kronprinz in Prien. This almost always means 400 ortho- paedic patients. If time allows, he personally checks whether the automatic leg splints are having the desired effect. MEDICAL PARK QUALITY REPORT 2017/18 ORTHOPAEDICS FINE MOTOR SKILLS Because Schmidbauer also had surgery on three of his fingers, he is relearn- ing fine motor movement during ergo- therapy with Christiane Starnecker, whereby he attaches clothes pegs to the therapy tree and takes them off again. 10 “ WITHOUT THE KNEE OPERA- TION AND SUBSEQUENT REHABILITATION, I WOULDN’T HAVE BEEN ABLE TO PRESENT MY SHOW GIPFELTREFFEN ANY MORE.” WERNER SCHMIDBAUER FLUID MOVEMENT The machine that Schmidbauer uses to stabilise his torso and raise his thoracic spine with the aid of therapist Michaela Kreitmair is called Gyro- tonic. The aim is that movement should become fluid again. MEDICAL PARK QUALITY REPORT 2017/18 ORTHOPAEDICS VITAL No extras. No actors milling about. But 120 employees in nursing and therapy who slog away, toil, work, It finally caught up with him at some point. Not just a measure, massage, balance out, hold, test, examine, little, but intensely: Werner Schmidbauer, presenter, carry, support, advise, help, listen day in, day out, until musician, mountaineer, native of Munich, a popular patients are back where they want to be and ought to figure even into the far north, has a long history of be following knee, foot, hip, shoulder, spinal or hand suffering.