Meeting of the International Society of

Orthopedic Centers (ISOC)April 29 – May 01, 2010

(Bologna)

ISOC Meeting April 29 – May 01, 2010 (Bologna)

Presenting the Schulthess Clinic Zurich

Background of Matthias Spielmann

Position Overview2003 – dato CEO Schulthess Clinic, Zurich (CH)

Educational background1976 – 1982 Grammar School in Economics; Zug (CH)1983 – 1987 Hotel Management School; Lausanne (CH)1992 – 1994 Bachelor of Business Administration (BBA); Zurich (CH)2002 – 2004 Master of Health Administration (MHA); University of Bern (CH)

Further Education2009 European Health Leadership Programme, INSEAD; Fontainebleau (F)

Overview of career1988 – 1996 Manager/Vice Director/COO in Catering-, Hospital- and Hotel-

Industry1996 – 1997 COO Ami Clinic; Cham (CH)1998 – 2003 CEO Public Hospital; Riehen (CH)

Key figures of Switzerland

Foundation 1291Square 41‘285 km2

(divided in 26 cantons)Population 7‘782‘900Languages German (63,7%)

French (20,4%)Italian (6,5%) Romanic (0,5%)

Capital BernEconomic Capitals Zurich and GenevaMain IndustryBanking & Insurance

TourismPharma Watches

Production Johnson & JohnsonMed. Tech. Zimmer GmbHCompanies Stryker AG

Medtronic AGetc.

Brief overview of the healthcare structure and system in Switzerland

Financial statistic● Health providing in Switzerland 2007:

US$ 52 Mia

● Health costs

2007 = 10,8% GDP (USA 15,3%/F 11,0%)

Social insurance in Switzerland● The federal statute of the new health insurance system was introduced 1996 and

revised in the meantime three times already.

● Each person in Switzerland is insured obligatory (premium per head) and has therefore the right to get all medical services without paying additional fees.

● Auxiliaryinsured patients are free in the choice of the doctor as well as the hospital.

Schulthess Clinic Corporate Film

Please dive in now for some minutes in the world of Schulthess Clinic in Zurich!

The clinic at a glanceFocus Orthopedic surgery

Founded 1883

Owned by non-profit foundation

Turnover 2009 US$ 139 millionStatusUniversity clinic grade “A”(Swiss Olympic Medical Center; FIFA Medical Center)

Employees/ totally 800 of it arePhysician 35 Orthopedic Surgeons

45 Assistants27 physician(resident system = all employed)

Beds 160

Operating Rooms 9

Facts and Figures 2009

Number of cases total 8‘000

Divided after departmentsUpper Extremities 1‘550

Lower Extremities 2‘700

Hand Surgery 850

Foot and Ankle Surgery 1‘400

Spine Surgery (incl. Neurosurgery) 1‘300

Pediatric Orthopedics 200

Development Patients/Personnel/Turnover

Patients, station-arily, leaving

StatusStaff

(Fulltime)

Turnoverin Mio.

US$

%- Quota Personnel-costs (incl.

Social payments &

Extras)

No. of Care days

%-Quota of the Auxiliaryinsured

Averageduration of

stays(in days)

1997 4‚489 400 73.925 46.32 51'349 54.38 11.40

2000 5'326 412 81.225 47.35 50'069 53.61 9.40

2003 5'653 456 89.830 53.38 45'829 54.21 8.11

2006 6‘235 510 117.047 49.10 50‘122 52.38 8.00

2009 7‘251 586 146.352 46.08 49‘284 55.10 6.80

1997 - 2003 + 25.9% + 14.0% + 21.5%

2003 - 2009 + 28.3% + 28.5% + 62.9%

Overview of teaching & research efforts

• Research– Scope: Outcome research, prognostic studies neuromuscular

adaptation, osteoporosis, prosthesis development and clinical testing, injuries in football (F-MARC), pathophysiology of rheumatoid

arthritis, …– Number of scientists: 14– Annual grant funding: $1 Million USD– No. of peer-reviewed articles: 101 in 2009

• Teaching– University affiliation currently not available– Cooperation with ETH and University Zurich & Lausanne

Strategic Plan/Direction/Major Initiatives underway and Future Challenges

• Economic Success

• Rise in Labor Costs and Medical Devices – Worsening Tariff System

• Extension

• Qualified Staff in Europe

…a low cost medicine!

The dream of…

Thank you for your attention!