1. The One Million Dollar Question:
Unlocking the
Secrets of
Hospital Success
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2. Moving Healthcare Forward
www.michael-sandnes.com
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May 17, 2016 - Dubai, United Arab Emirates

3. Electronic Medical Records
The Key of Care Quality
Patient Safety
Comprehensive Care Planning
Marketing and Social Media for Hospitals
A Hospitals Financial Structure
Agenda
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4. Best Practices & PrinciplesTechnology for the Future
 Establish the business case and sustainable funding sources
to support the widespread adoption of health information
technology.
 Redesign business and care processes in tandem with health
information technology to ensure benefit accrual.
 Use digital technology to support patient centered in hospitals
and extend that care beyond the hospital walls.
 Establish reliable authorities to provide technology
assessment and investment guidance for hospitals.
 Adopt technologies that are labor-saving and integrative across the hospital.
 Don’t let technology expenses exceed cost to build new hospital
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5. Design Principles in Setting Up Hospital System
 Incorporate evidence-based design principles that improve patient safety,
including single rooms, decentralized nursing stations and noise-reducing
materials, in hospital construction.
 Address high-level priorities, such as infection control and emergency
preparedness, in hospital design and construction.
 Include clinicians, other staff, patients and families in the design process to
maximize opportunities to improve staff work flow and patient safety, and
create patient-centered environments.
 Design flexibility into the building to allow for better adaption to the rapid
cycle of innovation in medicine and technology.
 Incorporate "green" principles in hospital design and construction.
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6. Promote EconomicViability
 Ensure the system alignment of hospital measurement and payment
systems to meet quality and efficiency-related goals for Insurance
Carriers.
 Apply process improvement tools to improve efficiency and reduce costs.
 Pursue coverage options to ensure patient access to, and affordability of
health care services.
 Address the disequilibrium between the burdens of general acute
hospitals and specialty hospitals in fulfilling the social mission for health
care delivery.
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7. Electronic Medical Record
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8. EMR Benefits vs Manual Paper Records
 Track data over time.
 Identify patients who are due for preventive visits and screenings.
 Monitor how patients measure up to certain parameters, such as vaccinations
and blood pressure readings.
 Improve overall quality of care in a practice.
 Provide by Management and Clinical Reports
 Financial Matrix
 ICI Compliance Indicators
 Clinical and Medical Outcome
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9. Transforming Healthcare
Benefits of electronic health records include:
 Better healthcare by improving all aspects of patient care, including
safety, effectiveness, patient-centeredness, communications, education,
timeliness, efficiency, and equity.
 Encouraging healthier lifestyles in the entire population by focusing on
increased physical activity, better nutrition, avoidance of behavioral risks,
and wider use of preventative care.
 Improved efficiencies and lower health care costs by promoting
preventative medicine and improved coordination of health care services,
as well as by reducing waste and redundant tests.
 Better clinical decision making by integrating patient information from
multiple sources.
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10. The Key to Quality
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11. Quality of Care is a process for
making strategic choices in Health
Systems
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12. How to achieve Patient Centered Care
 Implement Patient-Centered CareValues as a priority for improving
patient safety & patient - staff satisfactions to meet JCI and
International Accreditation Standards.
 Address patients barriers such as low health knowledge, personal and
cultural preferences for confidentiality of Medical Records satisfactions
to meet JCI and International Accreditation Standards.
 Improve the quality of care for the chronically ill through adoption of
care models that encourage coordinated, multi-disciplinary care.
 Use robust process software improvement tools.
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13. Best Practices in Addressing Staffing Challenges
 Address the growing Maldistribution of health care workers across the
globe by installing fair migration and compensation policies for
equalities.
 Create work place cultures that can attract and retain a qualified health
care workers based on JCI & International Accreditation Standards.
 Support the development of health professional knowledge and skills
required to evaluate and patients treatment in an increasingly complex
environment.
 Educate health professionals to deliver team based care and promote
teamwork in the healthcare delivery system.
 Develop the competence of health professionals to treat and evaluate
geriatric and mental health patients needs.
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14. Patient Safety First
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15. Comprehensive Care Planning and
Implementation
Comprehensive Care Plans:
Is a collaborative plan that includes patient, care planners, the treating
clinicians as well as physicians.
The underpinning of the Care Plan is the Initial Assessment coupled with the
desires and objective of the patient and the family including patient
outcome and discharge.
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16. Care Plan Implementation
The team of Care Specialists are primarily responsible for the day-to-
day implementation of the Care Plan with the patient.They will
provide the one-on-one care, coaching and assistance in the activities
around the home, in the community and during recreation and
pastimes.
CHC Services has a very strong emphasis on training of the Care
Specialist staff and they are a part of the team comprising the Care
Manager, Medical Director, and licensed clinicians.
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17. Marketing and Social Media for Hospitals
Social Media plays a large role in people’s
lives around the world, and the Middle East
is no exception.
According to “Arab Social Media Report”
that released at the Arab Social Media
Influencers Summit last week, Facebook is
the most used social media channel in the
UAE, followed by Whatsapp.
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18. 27%
25%17%
16%
15%
Facebook
Whats app
Instagram
Twitter
YouTube
Have a look at the list of the top used social media
channels in the UAE below:
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19. How Can a Hospital Use the Social Media
Customer Service:
 Contact point for our patient, catch problem early.
Community Outreach:
 The people in our physical community are on the sites.
Patient Education:
 Natural Extension to reach & teach.
Public Relations:
 The media is there looking for stories & sources.
Crisis Communications:
 Take control of the message and keep community update on
real time 19

20. Hospital Revenues
The net payments actually received from government payers, insurers and
patients. Government payers such as Medicare and Medicaid, dictate
payments based on regulatory and legislative updates. Private payers
negotiate rates with hospitals usually based either as a discount from charges
or on a bundled service price.
Essentially Hospital Revenue comprises of:
 Insurance
 Cash revenues which includes Cash Customers who pay higher charges
than Insurance, Cash normally includes Package charges forVIP
Customers, deductibles, non covered items by Insurance etc.
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21. 50%
16%
10%
8% 11%
5%
Employee Salary
Supply
Depreciation
Bad Debt
Purchasing Services
Other Expenses
Hospital Cost Structure
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22. Approximately 50-65 percent of
hospitals’ cost structure is
devoted to salaries, wages and
benefits costs in UAE, & high-
tech equipment and services.
Other high operating costs areas
include supplies, equipment,
utilities, provision for bad debt
and the like.
Hospitals are very Labor-Intensive Organizations
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23. Hospital Operating Margin
The difference between revenues collected and operating costs
A hospital is doing well if they are able to produce a margin of
20 cents on the dollar or 25 percent above costs.
This is particularly applicable For
Profit Hospitals such as NMC
Group, Al Noor hospital Group,
Mediclinic,VPS, etc.
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24. Acknowledgements
Abu Dhabi Healthcare City - Data
HAAD - Data Market Information 2016
Arab Social Media Summit Influencers
Myrna L. Sandnes -Digital Marketing Consultant
International Cell: +971-50-794-7449
myrnasandnes22@gmail.com
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25. Moving Healthcare Forward
Michael Sandnes, Group CEO
P.O. Box 2013 ▪ Abu Dhabi, U.A.E.
International Cell: +971-56-740-8390
www.michael-sandnes.com
www.linkedin.com/in/michaelsandnes
NATION HOSPITAL
141 Acute Care Hospital, located in Abu Dhabi U.A.E.
Coming Soon Second Quarter 2016 25