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Vision and programme plan to realise, organise and scale up digital/virtual care within the seven top clinical hospitals.
Reason
Santeon is a partnership of seven top clinical hospitals in the Netherlands with a combined turnover of >3.5 billion. They work together to improve care. The programme office in Utrecht co-ordinates and supports joint programmes and projects. Santeon has expressed its ambition to become a leader in the field of digital/virtual care. This is in line with the desire of patients to receive care at home rather than in the hospital.
This ambition entails various issues, such as:
- What is the value creation for the Dutch healthcare system, Santeon itself and the various stakeholders?
- Which conditions and patient groups do we start with, how large is the final patient population and what turnover is achieved with this?
- Who within Santeon is responsible for driving this, who should be involved and how is sufficient time, resources and support ensured?
- With which external partners is cooperation sought and in what structure?
- What choices are necessary in the technical, financial and legal fields, for example regarding (data) infrastructure, ownership structure and possible reduction of physical care capacity?
- How do we ensure the right sequence and focus on activities and deliverables to achieve the formulated ambition?
Santeon approached Deloitte to develop a vision and strategy that answer these questions and to provide guidance in realising the transformation ambitions within Santeon and the seven top clinical hospitals involved.
Solution
Together with Santeon, Deloitte has developed a clear vision and a corresponding programme plan aimed at the healthcare of the future, with an explicit place for 'digital-/virtual care'. Important parts of the approach were:
- Strategy and programme plan: Elaboration of a vision on digitisation and the preparation of a detailed programme with timelines and planning.
- Governance: Implementation of a governance structure to safeguard the interests of stakeholders and enable decision-making.
- Technical workflow: Together with enterprise architects from the hospitals, a target architecture and associated principles have been drawn up to make technology future-proof, safe, efficient and scalable. Deloitte also supervised reference visits and selection procedures to identify available technical solutions.
- Care process: Together with nurses and doctors, future work processes have been worked out, such as the registration of patients by digital employees. Needs for information provision and standardisation of medical protocols have been taken into account.
- Organisational design: Drawing up a plan for the right legal structure to enable the provision of care between the seven hospitals, including possible expansion with other regional parties.
- Financial: Co-drafting a business case to quantify the impact of the transformation, for example on the number of hospital days and admissions.
- Transformation funds: Supervision of the application for transformation funds (such as from the IZA), where the programme plan formed the central document for approval.
Deloitte remained involved in phases during the implementation phase, supported the content of the workflows and contributed to the realisation of the plans and visions.
"By working integrally and scaling up solutions, we make person-centred care sustainable, efficient and close to the patient"
Impact
The collaboration between Deloitte and Santeon has led to a successful transformation of healthcare within the partnership. The application for transformation funds was approved by the various health insurance companies, which enabled the progress of the programme. Since 1 August 2024, in line with the strategy drawn up, 10,000 patients have now been monitored remotely via digital healthcare solutions. In addition, several care pathways have been standardised, which has contributed to more efficient and patient-orientated care within the seven Santeon hospitals.
This approach supports Santeon in its ambition to play a leading role in the field of digital/virtual care and contributes to addressing the challenges in healthcare, such as growing demand for care, staff shortages and an elderly population with comorbidities.
