The entire organisation in the new operating model
All of Karolinska University Hospital is now working as part of the new operating model. Most recently the Cancer, Inflammation and Infection, Neurological and Trauma and Reparative Medicine themes have transitioned into the new thematic organisation.
The work on a new operating model has been completed in phases. In June 2016, the first themes and functions transitioned to the new model: the Cardiovascular and the Children's and Women's Health themes, and the Emergency, Perioperative Medicine and Intensive Care, Health professions and Radiology functions. In September 2017 these were followed by the Ageing theme and Karolinska University Laboratory. In October, the remaining parts transitioned to the new model.
Karolinska's new organisation is based on the vision "Patient first – together we create the best healthcare". The logic for organisation of the activities is based on the patient and their journey through healthcare, because the patient often experiences healthcare as a "journey", in which you pass between assessments and treatments, aiming for a goal: becoming healthy. The aim is to improve this journey - both at Karolinska and in the entire healthcare network.
The patient is the starting point
In our work on the newoperating model, we have been influenced in part by the excellent examples of integrated value chains which have already existed at Karolinska, and we have developed them further. We have also attempted to identify anything that could further improve the work of prioritising the patient. The patient has always come first in healthcare, but by now prioritising the patient journey at an organisational level, the intention is to further invigorate the improvement work.
The patient has to become more involved in his or her own care, and the hospital will get better at picking up on those outcome measures that the patient considers most important, and both measuring them and following up on them. Decisions must be taken closer to the patient and more mandates must be moved from hospital management and staff members down to the patient flows and patient flow management groups.
Greater clarity in integration of care, research and training
Another central element of the new model is the greater clarity in integration of care, research and training. Fulfilment of these three components is Karolinska's role as a university, and it is important that the link between them is strengthened. It is particularly clear that this is the case for the complex patients which Karolinska will increasingly be caring for as part of its new, clarified, highly-specialised assignment.
Karolinska Institutet has been involved in the change management and in working towards an organisation that must function as well as possible between the hospital and the university.
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