Physicians - ICMCC
Physicians - ICMCC
Physicians - ICMCC
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Virtual Euro-Mediterranean Hospital - V E M H<br />
Acceptance as Prerequisite for<br />
Success:<br />
Recommendations for the<br />
Virtual Euro-Mediterranean Hospital<br />
(VEMH)<br />
Bettina Zippel-Schultz, Carsten Schultz,<br />
Hans Georg Gemünden<br />
Berlin University of Technology<br />
1
Empirical Basis<br />
„Study - Acceptance of Integrated Health Care in Germany“,<br />
N = 182, TU Berlin, 2004<br />
„Study - IT Cooperation of Hospitals“, N = 106, TU Berlin, 2004<br />
„Study - Acceptance of a Telemedical Platform / Service“,<br />
117 Hospitals & Specialists, 416 Patients, 4 Insurances , TU Berlin 2004<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
2
Requirements of Modern Health Care<br />
Goals:<br />
• reduced costs<br />
• effective learning processes,<br />
evidence based medicine<br />
• best treatment without<br />
moving the patient<br />
How:<br />
<br />
establish a global network of<br />
hospitals to work as<br />
a virtual hospital<br />
knowledge sharing<br />
knowledge based services<br />
Virtual Euro-Mediterranean<br />
Hospital<br />
H V<br />
H I<br />
H IV<br />
H III<br />
H II<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
3
Network Management -<br />
Success Factor in the VEMH<br />
• Membership<br />
• Role Behavior<br />
• Extra Role<br />
Behavior<br />
• Evidence based<br />
medicine<br />
• Effective and<br />
efficient usage of<br />
knowledge and<br />
resources<br />
Management<br />
Self / General<br />
Active<br />
Acceptance<br />
Network<br />
Success<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
4
Management and Acceptance<br />
General<br />
Management<br />
Hospital<br />
Acceptance<br />
Network<br />
Success<br />
Self<br />
Management<br />
<strong>Physicians</strong><br />
Acceptance<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
5
Behavior Types based on<br />
Active Acceptance<br />
Extra<br />
Role<br />
• Ambition to improve<br />
infrastructure, organization and<br />
relationships within the VEMH<br />
Role<br />
• Ambition to do a good job<br />
• Effects on others are<br />
considered<br />
• Expansion of the actual tasks<br />
Membership<br />
• Simply execution of a task<br />
• E.g. knowledge source publishes<br />
knowledge without reflection about<br />
the needs of the knowledge<br />
recipients<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
6
Components of the Active Acceptance<br />
Ability<br />
Active<br />
Acceptance<br />
Motivation<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
7
Abilities<br />
<strong>Physicians</strong><br />
Hospital<br />
• Medical competence<br />
• Technical competence<br />
• Economical competence<br />
• Network competence<br />
• Aggregated competences:<br />
• Medical<br />
• Technical<br />
• Economical<br />
•Network<br />
• Infrastructure:<br />
• Technical<br />
• Management<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
8
Motivation<br />
<strong>Physicians</strong><br />
Hospital<br />
• External<br />
• Hospital pressure<br />
• Money<br />
• Reputation<br />
• Career<br />
• Internal<br />
• Satisfaction<br />
• Enthusiasm<br />
• Identification with the values of<br />
the hospital and the network<br />
• Technical affinity<br />
• External<br />
• Customer pressure<br />
• Competitor pressure<br />
• Reputation<br />
• Political pressure<br />
• Internal<br />
• Quality<br />
•Time<br />
• Efficiency<br />
• Strategy Fit<br />
• Identification with the VEMH<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
9
Management tools to enforce<br />
the acceptance<br />
Ability<br />
Management tools<br />
Self / General<br />
Active<br />
Acceptance<br />
Motivation<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
10
Tools of the Self Management<br />
•Formal instruments<br />
•Education programs<br />
•Resources<br />
•Informal instruments<br />
•Environment orientation<br />
•Feedback<br />
Ability of the<br />
physicians<br />
Self<br />
Management<br />
•Formal instruments<br />
•Compensation and Benefits<br />
•Instruction; MbO<br />
•Controlling & Evaluation<br />
•Informal instruments<br />
•Identification<br />
•Behavior Control<br />
Motivation of the<br />
phyicians<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
11
Tools of the General Management<br />
General<br />
Management<br />
•Formal Instruments<br />
•Defined processes<br />
•Continuous improving system<br />
•Knowledge map /<br />
skill management system<br />
•Informal Instruments<br />
•Communication, Work Shops<br />
•Information, Participation<br />
•Formal Instruments<br />
•Contracts<br />
•Billing<br />
•Controlling & Evaluation System<br />
•Informal Instruments<br />
•Trust and identity building<br />
•Transperancy<br />
Ability of the<br />
hospital<br />
Motivation of the<br />
hospital<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
12
Contact<br />
Bettina Zippel-Schultz<br />
Berlin University of Technology<br />
Institute of Technology and Management<br />
Prof. Dr. Hans Georg Gemünden<br />
Strasse des 17. Juni 135, Sekr. H 71<br />
10623 Berlin - Germany<br />
Phone: +49 30 314 29538<br />
Mail:<br />
bettina.zippel-schultz@tim.tu-berlin.de<br />
Web:<br />
www.tim.tu-berlin.de<br />
B.Zippel-Schultz / C.Schultz / H.G.Gemünden<br />
Acceptance as Prerequisit for Success<br />
13
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